Individual provider Active NPI

Eileen Asevedo, BCBA, MA, LBA

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1669971321
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7134 Issued in TX
Practice address
12246 Queenston Blvd Ste G
Houston, TX 77095-5355
Phone
(281) 899-0146
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 7134 TX Primary

Addresses

Primary practice location

12246 Queenston Blvd Ste G
Houston, TX 77095-5355

Mailing address

12828 Willow Centre Dr Ste D #30
Houston, TX 77066-3043
Phone (281) 409-4604

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
7134TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough ABA LLC Behavior Analyst CurrentSince Aug 4, 2024 Accepting new patients

Locations

12246 Queenston Blvd
Ste G
Houston, TX 77095
Phone (281) 899-0146

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669971321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 WILLOW CENTRE DR STE D #30",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663043",
            "telephone_number": "281-409-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12246 QUEENSTON BLVD STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955355",
            "telephone_number": "281-899-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASEVEDO",
        "first_name": "EILEEN",
        "credential": "BCBA, MA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "7134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 12, 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.

Verify at the official NPI Registry.