NPIMap

Organization Active NPI

Children'S Behavioral Therapy

  • Behavior Analyst
  • Beaumont, TX
National Provider Identifier
1730770884
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHILDREN'S BEHAVIORAL THERAPY
Practice address
710 S 8TH St Ste B
Beaumont, TX 77701-4634
Phone
(409) 299-9460
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Cynthia Costa, BCBANPI 1861990087
Title
Behavior Analyst
Phone
(915) 799-8722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

710 S 8TH St Ste B
Beaumont, TX 77701-4634

Mailing address

6305 Highpoint Ave
Beaumont, TX 77708-3651
Phone (915) 799-8722

Other practice location 1

928 Man-o-war
El Paso, TX 79932
Phone (915) 799-8722

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1730770884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 HIGHPOINT AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777083651",
            "telephone_number": "915-799-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014634",
            "telephone_number": "409-299-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Man-o-war",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79932",
            "country_code": "US",
            "telephone_number": "915-799-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "915-799-8722",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.