Individual provider Active NPI

Andrew Daniel Cabanillas, RBT

  • Behavior Technician
  • Yuma, AZ
National Provider Identifier
1013474485
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-77750 Issued in AZ
Practice address
2741 S 8TH Ave Ste C
Yuma, AZ 85364-7154
Phone
(928) 782-1338
NPI assigned
Feb 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-77750 AZ Primary

Addresses

Primary practice location

2741 S 8TH Ave Ste C
Yuma, AZ 85364-7154

Mailing address

10362 E 39TH PL
Yuma, AZ 85365-7234
Phone (928) 919-3983

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

State licenses

LicenseStateTypeSpecialty
RBT-19-77750AZMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Joureny Current Accepting new patients
The Healing Joureny Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1013474485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 E 39TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657234",
            "telephone_number": "928-919-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 S 8TH AVE STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647154",
            "telephone_number": "928-782-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANILLAS",
        "first_name": "ANDREW",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-19-77750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.