Active NPI
Alisa Nembhard
- Behavior Analyst
- Colleyville, TX
National Provider Identifier
1770133860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4736
- Practice address
- 6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236 - Phone
- (855) 782-7822
- NPI assigned
- Sep 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-41025 | CT | |
| Behavior Analyst | 103K00000X | 4736 | TX | Primary |
Addresses
Primary practice location
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Mailing address
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Phone (855) 782-7822
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-17-41025 | CT | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Cone Therapies LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Southlake, TX
- NPI 1013143767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1770133860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 COLLEYVILLE BLVD STE 100",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346236",
"telephone_number": "855-782-7822"
},
{
"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": "855-782-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMBHARD",
"first_name": "ALISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-19",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": "RBT-17-41025",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "4736",
"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 Jan 3, 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.