Rozina J Fernandez, RBT
Individual provider Active NPI Behavior Technician · Killeen, TX
NPI 1962999458 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1962999458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 22-229177 (TX)
- Practice address
- 1200 E Stan Schlueter Loop Ste 107
Killeen, TX 76542-5482 - Phone
- (727) 278-2479
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-229177 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learning Through Behavior | Past |
Accepting new patients | |
| Project Change Clubhouse | Past | Accepting new patients | |
| Learning Through Behavior | Past |
Accepting new patients | |
| New Horizons CSB Midtown Recovery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | 22-229177 | TX | Yes |
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
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.