Andrew Yoshito Ikemoto

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Phone

(469) 694-1754

NPI assigned

Sep 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Center for Autism & Related Disorders, LLC

  • Behavior Analyst
  • Peachtree City, GA
  • NPI 1689320814
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1619699790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246753",
            "telephone_number": "469-694-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEMOTO",
        "first_name": "ANDREW",
        "middle_name": "YOSHITO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Ihnat, MD
• Ihp Engeneering and Architecture LLC
• IHS Acquisition No 129 Inc
• IHS Acquisition No 174 Inc
• Ijeoma Ikeh, NP
• Khawaja Nimr Ikram, D.O.
• Ileraco,LLC
• Ileraco,LLC
• Sedona Ann Iles, RBT
• Illumin8 Chiropractic Plano

• Behavior Technician in Plano, TX
• Providers in Plano, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.