Active NPI
Jose A Bonilla-Negron
- Behavior Technician
- Harker Heights, TX
National Provider Identifier
1881345718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2025 Memory LN Ste 500
Harker Heights, TX 76548-7489 - Phone
- (419) 618-1135
- NPI assigned
- Jan 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2025 Memory LN Ste 500
Harker Heights, TX 76548-7489
Mailing address
2025 Memory LN Ste 500
Harker Heights, TX 76548-7489
Phone (419) 618-1135
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.blessings-ranch.com | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessings Ranch of Central Texas | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1881345718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 MEMORY LN STE 500",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765487489",
"telephone_number": "419-618-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 MEMORY LN STE 500",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765487489",
"telephone_number": "419-618-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA-NEGRON",
"first_name": "JOSE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.blessings-ranch.com",
"affiliation": "N",
"endpointDescription": "www.blessings-ranch.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "Harker Heights",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "www.blessings-ranch.com",
"address_1": "2025 Memory Ln Ste 500",
"city": "Harker Heights",
"state": "TX",
"country_code": "US",
"postal_code": "765487489",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.