Individual provider Active NPI

Candace Cortez, BA IN FAMILY STUDIES

  • Behavior Technician
  • Colleyville, TX
National Provider Identifier
1861023111
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-110358 Issued in TX
Practice address
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Phone
(432) 553-1085
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-110358 TX Primary

Addresses

Primary practice location

6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236

Mailing address

6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20-110358OtherTXNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adeloera@behavioral-innovations.com

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-20-110358TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1861023111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346236",
            "telephone_number": "432-553-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "CANDACE",
        "name_prefix": "Mrs.",
        "credential": "BA IN FAMILY STUDIES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-20-110358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "RBT-20-110358",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeloera@behavioral-innovations.com",
            "affiliation": "N",
            "address_1": "6201 Colleyville Blvd Ste 100",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760346236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.