Active NPI
Vanessa Santiago
- Behavior Technician
- Killeen, TX
National Provider Identifier
1790414613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB793370
- Practice address
- 1801 Trimmier Rd
Killeen, TX 76541-8521 - Phone
- (254) 294-4488
- NPI assigned
- Jun 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB793370 | Primary |
Addresses
Primary practice location
1801 Trimmier Rd
Killeen, TX 76541-8521
Mailing address
504 Preakness Dr
Copperas Cove, TX 76522-4769
Phone (254) 245-3897
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.juniperhw.com | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1790414613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 PREAKNESS DR",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765224769",
"telephone_number": "254-245-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 TRIMMIER RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765418521",
"telephone_number": "254-294-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "BACB793370",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.juniperhw.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Education and Contact",
"address_1": "1801 Trimmier Rd",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765418521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.