Active NPI
Emmanuel Harris, RBT
- Behavior Technician
- Georgetown, TX
National Provider Identifier
1669189924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1524 Leander Rd
Georgetown, TX 78628-8801 - Phone
- (512) 493-4473
- NPI assigned
- Nov 4, 2022
- Last updated
- Jan 29, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
1524 Leander Rd
Georgetown, TX 78628-8801
Mailing address
1524 Leander Rd
Georgetown, TX 78628-8801
Phone (512) 493-4473
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 |
|---|---|---|---|
| LL Pediatric Therapy LLC | Current | Accepting new patients | |
| BTRM-BC LLC | Current | Accepting new patients |
Locations
1524 Leander Rd
Georgetown, TX 78628
Phone (512) 493-4473
Organizations & group practices 2
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": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1669189924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 LEANDER RD",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786288801",
"telephone_number": "512-493-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 LEANDER RD",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786288801",
"telephone_number": "512-493-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "EMMANUEL",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-04",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.