Individual provider Active NPI

Latoya S Degrate, RBT

  • Behavior Technician
  • Woodway, TX
National Provider Identifier
1639677693
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
15140 Badger Ranch Blvd
Woodway, TX 76712
Phone
(254) 382-2547
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X TX Primary

Addresses

Primary practice location

15140 Badger Ranch Blvd
Woodway, TX 76712

Mailing address

15140 Badger Ranch Blvd
Woodway, TX 76712
Phone (254) 382-2547

Other practice location 1

903 Parkview Cir
Hewitt, TX 76643-3265
Phone (903) 312-1315

Other identifiers 1

IdentifierTypeStateIssuer
RBT-16-25452OtherRBT

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

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Consulting, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1639677693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15140 BADGER RANCH BLVD",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-382-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15140 BADGER RANCH BLVD",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-382-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Parkview Cir",
            "address_purpose": "LOCATION",
            "city": "Hewitt",
            "state": "TX",
            "postal_code": "766433265",
            "country_code": "US",
            "telephone_number": "903-312-1315",
            "fax_number": "866-790-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGRATE",
        "first_name": "LATOYA",
        "middle_name": "S",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "RBT-16-25452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.