Individual provider Active NPI

Rozina J Fernandez, RBT

  • Behavior Technician
  • Killeen, TX
National Provider Identifier
1962999458
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
22-229177 Issued in TX
Practice address
1200 E Stan Schlueter Loop Ste 107
Killeen, TX 76542-5482
Phone
(727) 278-2479
NPI assigned
Apr 19, 2018
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Technician 106S00000X 22-229177 TX Primary

Addresses

Primary practice location

1200 E Stan Schlueter Loop Ste 107
Killeen, TX 76542-5482

Mailing address

1200 E Stan Schlueter Loop Ste 107
Killeen, TX 76542-5482
Phone (727) 278-2479

Other practice location 1

1727 Boxwood Pl
Columbus, GA 31906-2328
Phone (706) 569-0727

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

State licenses

LicenseStateTypeSpecialty
22-229177TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Learning Through Behavior PastSince Aug 28, 2022 Accepting new patients
New Horizons CSB Midtown Recovery Past Accepting new patients
Learning Through Behavior PastSince Aug 28, 2022 Accepting new patients
Project Change Clubhouse Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1962999458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E STAN SCHLUETER LOOP STE 107",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425482",
            "telephone_number": "727-278-2479",
            "fax_number": "706-569-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E STAN SCHLUETER LOOP STE 107",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425482",
            "telephone_number": "727-278-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Boxwood Pl",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319062328",
            "country_code": "US",
            "telephone_number": "706-569-0727",
            "fax_number": "706-569-7324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ROZINA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "22-229177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.