Tallia Melissa Wainright

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB543842 Issued in TX

Practice address

106 E 6TH St
Austin, TX 78701-3659

Phone

(855) 832-6727

NPI assigned

Jan 15, 2020

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

Other names 1

• Tallia Melissa Such Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1629618855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SALADO RIVER PL",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798366734",
            "telephone_number": "915-226-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 6TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013659",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINRIGHT",
        "first_name": "TALLIA",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "BACB543842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALLIA",
            "last_name": "SUCH",
            "middle_name": "MELISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candace Garcia Wahlers, BCBA
• Laura Cain Wahlstrom, PH.D.
• Tin Tin Wai, M.D
• Nancy Waida, ARRT, (R)(CT), BSRS
• Kristina Waidhofer, LCSW
• Glen M Wainwright, DDS, PLLC
• Alan George Waisanen, MS, LPC, LMFT
• Cristina Lucia Wait Mauro, LPC
• Chelsea Waite
• Richard Preston Waite, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.