Vida Behavioral Group LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

VIDA BEHAVIORAL GROUP LLC

Practice address

9907 Sageglow Dr
Houston, TX 77089-5006

Phone

(281) 738-8977

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Reinier De la Torre RodriguezNPI 1811874456

Title

Owner

Phone

(281) 738-8977

Specialties & licenses 1

Addresses

Other names 1

• Vida Behavioral Group LLC Doing business as

Practitioners 1

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

• Reinier De la Torre Rodriguez I, BCBA

  • Behavior Analyst
  • Houston, TX
  • NPI 1811874456
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1881313732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 SAGEGLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895006",
            "telephone_number": "281-738-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 SAGEGLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895006",
            "telephone_number": "281-738-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA BEHAVIORAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE RODRIGUEZ",
        "authorized_official_first_name": "REINIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-738-8977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Behavioral Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victory Home Health
• Victory Mission Center
• Victory Personal Care, Inc.
• Victory Professional Group Inc
• Victory Smiles PLLC
• Vida Pharmacy LLC
• Vida Premier Care LLC
• Johnel Vidad, PTA
• Alex C Vidaeff, M.D.
• Ismaray Vidal de la Cruz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.