Active NPI
Theresa Denise Watson
- Behavior Technician
- Colleyville, TX
National Provider Identifier
1730878331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-268185
- Practice address
- 6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236 - Phone
- (817) 952-8917
- NPI assigned
- May 1, 2023
- Sex
- Female
- 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 | RBT-23-268185 | TX | Primary |
Addresses
Primary practice location
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Mailing address
158 Thousand Oaks MHP
Mansfield, TX 76063-6245
Phone (773) 782-7578
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-268185 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1730878331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 THOUSAND OAKS MHP",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636245",
"telephone_number": "773-782-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 COLLEYVILLE BLVD STE 100",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346236",
"telephone_number": "817-952-8917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "THERESA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-23-268185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.