Active NPI
Bibitola Agbesanwa
- Behavior Analyst
- Houston, TX
National Provider Identifier
1629628383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47887
- Practice address
- 8300 Cypress Creek Pkwy
Houston, TX 77070-5654 - Phone
- (888) 922-2843
- Fax
- (855) 568-2494
- NPI assigned
- Sep 16, 2019
- Last updated
- Mar 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TX | ||
| Behavior Analyst | 103K00000X | 1-21-47887 | TX | Primary |
Addresses
Primary practice location
8300 Cypress Creek Pkwy
Houston, TX 77070-5654
Mailing address
8300 Cypress Creek Pkwy
Houston, TX 77070-5654
Phone (888) 922-2843
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bagbesanwa@teampbs.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 |
|---|---|---|---|
| Austin Connect to Wellness, LLC | Behavior Analyst | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1629628383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 CYPRESS CREEK PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705654",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 CYPRESS CREEK PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705654",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBESANWA",
"first_name": "BIBITOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-21-47887",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bagbesanwa@teampbs.com",
"affiliation": "N",
"address_1": "10777 Westheimer Rd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770423455",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.