NPIMap

Organization Active NPI

Bluebonnet Autism PLLC

  • Community/Behavioral Health Agency
  • Stafford, TX
National Provider Identifier
1851930515
Registry record updated Feb 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUEBONNET AUTISM PLLC
Doing business as
Bluebonnet Autism PLLC
Practice address
630 Colony Lake Estates Dr Apt 1014
Stafford, TX 77477-4675
Phone
(832) 273-9481
NPI assigned
Dec 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2020

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

Authorized official

Name
Ms. Sonia Malhotra, BCBA, LBANPI 1194196394
Title
Clinical Director
Phone
(832) 273-9481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

630 Colony Lake Estates Dr Apt 1014
Stafford, TX 77477-4675

Mailing address

2121 El Paseo St Apt 1108
Houston, TX 77054-3223
Phone (832) 273-9481

Other names 1

  • BLUEBONNET AUTISM PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

4855 Riverstone Blvd
Ste 100
Missouri City, TX 77459

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1851930515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EL PASEO ST APT 1108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543223",
            "telephone_number": "832-273-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COLONY LAKE ESTATES DR APT 1014",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774675",
            "telephone_number": "832-273-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET AUTISM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-273-9481",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEBONNET AUTISM PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLUEBONNET AUTISM PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.