Tanya Cleckley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-1817779 Issued in TX

Practice address

2115 Stephens PL BLDG 8
New Braunfels, TX 78130-2134

Phone

(210) 447-0039

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cole ABA Solutions, Inc.

  • Behavior Analyst
  • Spring, TX
  • NPI 1508253261
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1619632619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W IH 10 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL BLDG 8",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302134",
            "telephone_number": "210-447-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLECKLEY",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-1817779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tori@empowerbh.com",
            "affiliation": "N",
            "address_1": "2115 Stephens Pl Bldg 8",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781302134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Marie Clarkson, LM, CPM
• Brianne Clayton, LPC-S
• Clear Choices for Elders, Inc
• Clear Healthcare, Inc.
• Clearday Clubs of Leon Valley, LLC
• Sara Beth Clements
• Angela Louise Cline, O.D.
• Adam R Cobb, PH.D.
• Andrea Rosario Cobbs
• Leigha Mishelle Nielsen Cochran, O.D.

• Behavior Technician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.