Active NPI
Rakelah Howard
- Behavior Technician
- Rancho Cucamonga, CA
National Provider Identifier
1003588807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10730 Church St
Rancho Cucamonga, CA 91730-8953 - Phone
- (909) 963-3620
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Behavior Technician | 106S00000X | CA |
Addresses
Primary practice location
10730 Church St
Rancho Cucamonga, CA 91730-8953
Mailing address
10730 Church St
Rancho Cucamonga, CA 91730-8953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94632008D27144 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1003588807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 CHURCH ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 CHURCH ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308953",
"telephone_number": "909-963-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "RAKELAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94632008D27144",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
- Jennifer Ann Houger, M.S.
- Bonnie Jean Houlihan, L.C.S.W.
- Howard Siegel MD Inc
- Devyn Howard
- Lateefah Saleemah Howard
- HRC Integrative Mental Health Professional Clinical Counselor PC
- Hsieh and Abdelkarim Dental Corporation
- Hsieh and Ghazal Dental Corporation
- John Hsieh, DDS
- Andrew Shih-Hsiung Hsu, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.