Naomi T Ferdinand

Individual provider Active NPI Behavior Technician · Kyle, TX

NPI 1740934116 · NPPES record last updated Feb 4, 2022

Key facts

NPI
1740934116
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
207 Elmhurst
Kyle, TX 78640-5981
Phone
(737) 248-7042
Fax
(512) 519-8781
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

207 Elmhurst
Kyle, TX 78640-5981

Mailing address

207 Elmhurst
Kyle, TX 78640-5981
Phone (737) 248-7042

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2022.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1740934116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELMHURST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405981",
            "telephone_number": "737-248-7042",
            "fax_number": "512-519-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELMHURST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405981",
            "telephone_number": "737-248-7042",
            "fax_number": "512-519-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "NAOMI",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

All providers in Kyle, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.