Michael Thomas Ota, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27192 Issued in TX

Practice address

595 Round Rock West Dr Ste 104
Round Rock, TX 78681

Phone

(512) 898-9483

NPI assigned

Sep 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Raising the Ground

  • Professional Counselor
  • Round Rock, TX
  • NPI 1871059675

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1871002311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ROUND ROCK WEST DR STE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815028",
            "telephone_number": "512-898-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUND ROCK WEST DR STE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-898-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTA",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-27192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-2",
            "identifier": "1871059675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Neil Osborne, D. C.
• Sandra Oghomwen Osemwonta, DNP
• Islam Osman
• Gloria E Osuozah, APRN
• Amy Suzanne Ota, LPC
• Jana Marlene Ott, CRNA
• Otto Bock Orthopedic Services LLC
• Jeanne Ramsey Otto
• Sherry Dayne Otto, M.ED., LPC
• Andrew Shayne Outlaw, MD

• Behavior Analyst in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.