Active NPI
Camille Rose Roberts
- Behavior Analyst
- Austin, TX
National Provider Identifier
1801566070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65404
- Practice address
- 9390 Research Blvd Unit 1
Austin, TX 78759-6585 - Phone
- (512) 330-9520
- NPI assigned
- Sep 17, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 129651 | TX | |
| Behavior Technician | 106S00000X | RBT-20-129651 | TX | |
| Behavior Analyst | 103K00000X | 1-23-65404 | TX | Primary |
Addresses
Primary practice location
9390 Research Blvd Unit 1
Austin, TX 78759-6585
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
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 |
|---|---|---|---|
| 129651 | TX | MD | Behavior Technician |
| RBT-20-129651 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1801566070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GRANITE PKWY STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750246753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9390 RESEARCH BLVD UNIT 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787596585",
"telephone_number": "512-330-9520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CAMILLE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "129651",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-20-129651",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-23-65404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Roberta Targino, PLLC (Kiddo Counseling)
- Roberta Tsukahara, PHD, PA (ADD Austin)
- Roberto M. Pena, MD PA (Austin Family Practice)
- Roberto Miranda, MD PA
- Brittney C Roberts, LCSW
- Cathey Jean Roberts, M.D.
- Celeste Roberts, PTA
- Chloe Marie Roberts, MS, BCBA, LBA
- Davis Roberts, RDN, LD
- Dena Kay Roberts, DENA ROBERTS, L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.