Individual provider Active NPI

Thaina Trevisan Coelho

  • Behavior Technician
  • Pearland, TX
National Provider Identifier
1720810732
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-370973 Issued in TX
Practice address
1799 Kirby Dr
Pearland, TX 77584-5607
Phone
(650) 278-5397
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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-24-370973 TX Primary

Addresses

Primary practice location

1799 Kirby Dr
Pearland, TX 77584-5607

Mailing address

2312 Cape Landing Dr
Pearland, TX 77584-1633
Phone (650) 278-5397

Other names 1

  • Thaina Trevisan Villa Other name

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-24-370973TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1720810732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 CAPE LANDING DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841633",
            "telephone_number": "650-278-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 KIRBY DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845607",
            "telephone_number": "650-278-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVISAN COELHO",
        "first_name": "THAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-24-370973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAINA",
            "last_name": "VILLA",
            "middle_name": "TREVISAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.