Mariana Reis Ribeiro Pacheco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-55228 Issued in IN

Practice address

1501 W Tapp Rd
Bloomington, IN 47403-3459

Phone

(812) 330-4460

Fax

(812) 330-4461

NPI assigned

Oct 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Reach High Consulting and Therapy, LLC

  • Behavior Analyst
  • Bloomington, IN
  • NPI 1053629246

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1871045799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W TAPP RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033459",
            "telephone_number": "812-330-4460",
            "fax_number": "812-330-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W TAPP RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033459",
            "telephone_number": "812-330-4460",
            "fax_number": "812-330-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Palm Place Dr NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329053952",
            "country_code": "US",
            "telephone_number": "321-300-5304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIS RIBEIRO PACHECO",
        "first_name": "MARIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-18-55228",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE SCOTT CENTER FOR AUTISM TREATMENT",
            "identifier": "247200000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lorraine Reid-Renner, MD MPH
• Maddux Reid
• Rebecca Martinez Reid, PHD
• Kayla Reidy, RBT
• Brigitte Shezelle Reina, MD
• Deanna Lynne Reising, PHD, RN
• Jennifer Gale Reiter, PHARM.D.
• Jill Rene Reitmeyer, D.D.S.
• Donald Reitz
• Madison Reitz

• Behavior Technician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.