Calli Juarez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-199255 Issued in TX

Practice address

5307 Airport Blvd
Austin, TX 78751-2249

Phone

(888) 754-0398

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: c.juarez@inbloomautism.com

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1992451355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 AIRPORT BLVD STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512258",
            "telephone_number": "888-754-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 AIRPORT BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512249",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "CALLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-199255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "C.Juarez@inbloomautism.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5307 Airport Blvd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787512249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jrnys Medical, P.a.
• JT Jolly Good Eye Care PLLC
• JT Senior Care, LLC
• Edith Juanah, MS, LPC-A, ATR-P
• Andres Juarez
• Deborah Juarez
• Jessica Kristen Juarez, AU.D.
• Lauren C Juarez, CPNP-PC
• Jamie K Judd-Wall, ATP, BCBA
• Alanna Judd, FNP-C

• Behavior Technician in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.