Active NPI
Sebastian Jason Arviso, BT
- Behavior Technician
- Southlake, TX
National Provider Identifier
1649979931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-15039
- Practice address
- 2104 Greenbriar Dr
Southlake, TX 76092-8355 - Phone
- (817) 442-9022
- NPI assigned
- Feb 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-15039 | TX | Primary |
Addresses
Primary practice location
2104 Greenbriar Dr
Southlake, TX 76092-8355
Mailing address
300 N State St Apt 4127
Chicago, IL 60654-3036
Phone (928) 247-4468
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
- Credentials
- Bachelor of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-15039 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Cone Therapies LLC | 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.
-
- Behavior Analyst
- Southlake, TX
- NPI 1013143767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1649979931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N STATE ST APT 4127",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543036",
"telephone_number": "928-247-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 GREENBRIAR DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760928355",
"telephone_number": "817-442-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARVISO",
"first_name": "SEBASTIAN",
"middle_name": "JASON",
"credential": "BT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-16-15039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.