Individual provider Active NPI

Laura Faust

  • Behavior Analyst
  • Cibolo, TX
National Provider Identifier
1891227724
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25827 Issued in TX
Practice address
100 Ranch House Rd
Cibolo, TX 78108-4346
Phone
(877) 712-2735
NPI assigned
Mar 30, 2017
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-25827 TX Primary

Addresses

Primary practice location

100 Ranch House Rd
Cibolo, TX 78108-4346

Mailing address

4225 Weddington Matthews Rd
Weddington, NC 28104-9403
Phone (877) 712-2735

Other identifiers 1

IdentifierTypeStateIssuer
1-17-25827OtherHMO BLUE TEXAS, BLUE CHOICE PPO, BLUE ADVANTAGE PREMIER, AND BLUE PREMIER

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

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1891227724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 WEDDINGTON MATTHEWS RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049403",
            "telephone_number": "877-712-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RANCH HOUSE RD",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084346",
            "telephone_number": "877-712-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-25827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE TEXAS, BLUE CHOICE PPO, BLUE ADVANTAGE PREMIER, AND BLUE PREMIER",
            "identifier": "1-17-25827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.