Brenda Guadalupe Pita, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-94135 Issued in TN

Practice address

1236 Cherrydale CV
Memphis, TN 38111-8104

Phone

(901) 830-1363

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Midsouth Therapy Group

  • Behavior Analyst
  • Memphis, TN
  • NPI 1164057279
  NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1972117489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 DOGWOOD DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117313",
            "telephone_number": "901-618-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 CHERRYDALE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381118104",
            "telephone_number": "901-830-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITA",
        "first_name": "BRENDA",
        "middle_name": "GUADALUPE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-19-94135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo B Pirani Jr., DDS
• Anne Marie Pircer, LMT
• Kristen Elizabeth Pirvu, PA-C
• Stephen Darryl Pishko, MD
• Marielena Pita-Hernandez
• Yahaira Pita, BEHAVIOR TECHNICIAN
• Tom Pitman, MT
• Bill Cody Pittman, CRNA
• Ebonee K Pittman, B.S.
• Geoffrey Ellis Pittman, MD

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.