Vanessa Carrera

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12740 Bandera Rd Ste 200
Helotes, TX 78023-4328

Phone

(210) 321-9275

NPI assigned

Apr 20, 2018

Last updated

Apr 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trevor's Place LLC

  dba Stable Life Concepts

  • Behavior Analyst
  • Killeen, TX
  • NPI 1518320035
  NPD

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1770070161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NOLA RUTH BLVD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481549",
            "telephone_number": "254-833-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 BANDERA RD STE 200",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234328",
            "telephone_number": "210-321-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stablelifeconcepts.com",
            "affiliation": "N",
            "address_1": "400 Nola Ruth Blvd",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765481549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Narkun Burgess, MD
• Pamela Cairo
• Vanessa Canales-Cruz, LPC, NCC
• Esmeralda G Cardenas, MA, LPC
• Cardiovascular Institute of South Texas, PLLC
• Barbi Marie Carroll, MS, LAT, ATC
• Diane Casey, P.T.
• Lesley Casias, LPCI
• Alejandro Castillo
• Celeste Acosta, O.D., P.C. (The Eye Clinic)

• Behavior Technician in Helotes, TX
• Providers in Helotes, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.