Corneshia Renee Anderson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-96363 Issued in TX

Practice address

8300 FM 1960 Rd W
Houston, TX 77070-5654

Phone

(888) 922-2843

Fax

(855) 568-2494

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1780232108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705654",
            "telephone_number": "888-922-2843",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705654",
            "telephone_number": "888-922-2843",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CORNESHIA",
        "middle_name": "RENEE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "19-96363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Anderson, PH.D.
• Cheryl Anderson, PCD(DONA)
• Christina Anderson, MD
• Christine M Anderson, MD
• Claire Alyssa Anderson, SLP
• Cynthia Anderson, CNA
• Danita B Anderson
• Danna A Anderson, MED, LPC
• Daphne Yvette Anderson, OTR
• David Anderson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.