Cynthia Costa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3215 Issued in TX

Practice address

710 S 8TH St Ste B
Beaumont, TX 77701-4634

Phone

(409) 299-9460

NPI assigned

Jan 23, 2018

Last updated

Jan 19, 2022By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Behavioral Therapy

  • Behavior Analyst
  • Beaumont, TX
  • NPI 1730770884
  NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1861990087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 HIGHPOINT AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777083651",
            "telephone_number": "915-799-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 8TH ST STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014634",
            "telephone_number": "409-299-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3215",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Family Health Center PLLC
• Tiffany April Coronado, DC, PHARMD
• Kevin Mark Correia, PH.D.
• Rui Paulo Correia, APRN-CNP
• Cosmos Hospice of Beaumont, LLC (New Century Hospice of Beaumont)
• Counseling and Relief Everyday Mental Health Center (CARE Mental Health Center)
• Country Road Emergency Physicians, PLLC
• Courageous Coaching Mt LLC
• Kerri Courville, LPC
• Lindsay Kaye Cousins, NNP

• Behavior Analyst in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.