Active NPI
Ciarrah Waukon-Latraille, RBT
- Behavior Technician
- Tucson, AZ
National Provider Identifier
1578201141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-214166
- Practice address
- 6487 W Castle Pines Way
Tucson, AZ 85757-1503 - Phone
- (520) 222-6538
- Fax
- (520) 300-7240
- NPI assigned
- May 24, 2022
- Last updated
- May 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-214166 | Primary |
Addresses
Primary practice location
6487 W Castle Pines Way
Tucson, AZ 85757-1503
Mailing address
6487 W Castle Pines Way
Tucson, AZ 85757-1503
Phone (520) 222-6538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-214166 | Other | BACB- RBT CERTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | secretparentsociety.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cmeza, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Tucson, AZ
- NPI 1659995447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1578201141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6487 W CASTLE PINES WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857571503",
"telephone_number": "520-222-6538",
"fax_number": "520-300-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6487 W CASTLE PINES WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857571503",
"telephone_number": "520-222-6538",
"fax_number": "520-300-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUKON-LATRAILLE",
"first_name": "CIARRAH",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-22-214166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB- RBT CERTIFICATION",
"identifier": "RBT-22-214166",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "secretparentsociety.com",
"affiliation": "N",
"address_1": "6487 W Castle Pines Way",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857571503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.