Individual provider Active NPI

Brandon Yi, RBT

  • Behavior Technician
  • Fort Worth, TX
National Provider Identifier
1700594397
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-69868 Issued in TX
Practice address
5340 N Tarrant Pkwy
Fort Worth, TX 76244-6293
Phone
(682) 900-1444
Fax
(682) 900-1444
NPI assigned
Nov 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-69868 TX Primary

Addresses

Primary practice location

5340 N Tarrant Pkwy
Fort Worth, TX 76244-6293

Mailing address

161 JD Towles Dr
Willow Park, TX 76087-8654
Phone (682) 900-1444

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

State licenses

LicenseStateTypeSpecialty
RBT-18-69868TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavior Centers LLC Behavior Technician CurrentSince Nov 13, 2022 Accepting new patients

Locations

5340 North Tarrant Pkwy
Fort Worth, TX 76244

161 Jd Towles Dr
Willow Park, TX 76087

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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1700594397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JD TOWLES DR",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760878654",
            "telephone_number": "682-900-1444",
            "fax_number": "682-900-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446293",
            "telephone_number": "682-900-1444",
            "fax_number": "682-900-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "BRANDON",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-18-69868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.