NPIMap

Organization Active NPI

Camino Real Community MHMR Center

Doing business as Camino Real Community Services

  • Behavior Analyst
  • Lytle, TX
National Provider Identifier
1780197491
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CAMINO REAL COMMUNITY MHMR CENTER
Doing business as
Camino Real Community Services
Practice address
19965 FM 3175
Lytle, TX 78052-3481
Phone
(210) 357-0300
Fax
(830) 772-4305
NPI assigned
Nov 16, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Lynnette Danielle Aguilar, BCBA
Title
Idd Behavioral Services Director
Phone
(830) 266-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

19965 FM 3175
Lytle, TX 78052-3481

Mailing address

19965 FM 3175
Lytle, TX 78052-3481
Phone (210) 357-0300

Other practice location 1

19971 Fm 3175
Lytle, TX 78052-3481
Phone (830) 266-5450

Other names 1

  • Camino Real Community Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1780197491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19965 FM 3175",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523481",
            "telephone_number": "210-357-0300",
            "fax_number": "830-772-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19965 FM 3175",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523481",
            "telephone_number": "210-357-0300",
            "fax_number": "830-772-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19971 Fm 3175",
            "address_purpose": "LOCATION",
            "city": "Lytle",
            "state": "TX",
            "postal_code": "780523481",
            "country_code": "US",
            "telephone_number": "830-266-5450",
            "fax_number": "830-772-4305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMINO REAL COMMUNITY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "IDD BEHAVIORAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "830-266-5450",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camino Real Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lytle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.