Texas's behavioral health sector saw 561 providers in the latest CMS NPI registry update, with 282 new enrollments this week. This total represents a notable 6% of the national weekly total, underscoring Texas's significant role in the country's expanding behavioral health workforce. The update includes 432 individual practitioners and 129 organizations.

Credential Mix and Supervision

Within the ABA segment, the update identifies 37 providers with BCBA credentials and 150 with RBT credentials. This results in a ratio of approximately four RBTs for every BCBA, indicating a robust supervisory structure. Additionally, 4 individuals hold both BCBA and RBT credentials, a common career progression path from technician to supervisor. It is important to note that these figures represent credential counts and may not be mutually exclusive, as 149 providers in this update reported multiple taxonomies. Two providers explicitly listed both BCBA and the state-level LBA license, reflecting Texas's licensing requirements for behavior analysts.

Workforce Demographics

The individual provider workforce in Texas is predominantly female, with 357 women making up 83% of individual practitioners. Male providers total 61 (14%), and 14 providers (3%) identify as nonbinary. Among organizations, United Medical Centers was a notable presence, appearing 8 times in this week's data.

This consistent growth in the ABA workforce, particularly the strong RBT-to-BCBA ratio, suggests continued expansion of service capacity and access to care across Texas.