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Deactivated NPI 1639757941 Deactivated / Inactive NPI Female Practitioner

Takara Cheyenne Rose

Behavior Technician • Arlington, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Takara Rose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 30, 2021
NPI Deactivation Date May 10, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Takara Rose was a registered Behavior Technician practicing in Arlington, TX. Throughout an active medical career spanning 1 years, Takara Rose provided care at the practice location at 1012 COMMERCIAL BLVD N until profile deactivation on 2021-05-10.

Practice Location & Contact Primary Location

Practice Address

1012 Commercial Blvd N

Arlington, TX 760017119

Telephone 8175578040

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Arlington, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
213 Specialists

Practicing in Arlington, TX (25246 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-15
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Locations

8915 Harry Hines Blvd

Dallas, TX 75235

Phone: 4695854802

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Skylar Grant , RBT

Technician, Other

NPI 1013473909

Registered Behavior Technician

Lizette Serna

Behavior Technician

NPI 1063287589
Amber Baxter

Behavior Technician

NPI 1073345252
Jonathan Hines

Behavior Technician

NPI 1083349427
Amanda Boyd-Price

Behavior Technician

NPI 1093598153
Jasmine Kirven

Behavior Analyst

NPI 1104344647

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 15, 2021

Registered at 1012 COMMERCIAL BLVD N, ARLINGTON, TX 760017119 (Tel: 8175578040)

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Updated Business Mailing Address June 15, 2021

Registered at 1402 COUNTRY CLUB RD, ENNIS, TX 75119 (Tel: 4695854802)

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Updated Practice Location June 09, 2021

Registered at 8915 HARRY HINES BLVD, DALLAS, TX 752351717 (Tel: 4695854802)

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Updated Business Mailing Address June 09, 2021

Registered at 8915 HARRY HINES BLVD, DALLAS, TX 752351717 (Tel: 4695854802)

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Provider Name / Credentials Updated June 09, 2021

Recorded as TAKARA ROSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2021

Behavior Technician

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NPI Profile Deactivated May 10, 2021

Record deactivated on May 10, 2021

NPI Profile Active March 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2021

Registered at 1012 COMMERCIAL BLVD N, ARLINGTON, TX 760017119 (Tel: 8175578040)

📍
Updated Business Mailing Address March 30, 2021

Registered at 1012 COMMERCIAL BLVD N, ARLINGTON, TX 760017119 (Tel: 8175578040)

👤
Provider Name / Credentials Updated March 30, 2021

Recorded as TAKARA ROSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Behavior Technician

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Initial NPI Registration & Enumeration March 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639757941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2021
Last Update: June 15, 2021
Deactivation Date: May 10, 2021
Sole Proprietor: No

Mailing Address

1402 Country Club Rd

Ennis, TX 75119

Phone: 4695854802

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.