Individual provider Active NPI

Marcela Denisse De Gracia, RBT

  • Behavior Technician
  • Chula Vista, CA
National Provider Identifier
1013736008
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-383486 Issued in CA
Practice address
891 Kuhn Dr Ste 110
Chula Vista, CA 91914-3551
Phone
(619) 864-7070
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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-24-383486 CA Primary

Addresses

Primary practice location

891 Kuhn Dr Ste 110
Chula Vista, CA 91914-3551

Mailing address

304 Wellington PL
Jacksonville, NC 28546-8341

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-24-383486NCMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Successful Child ABA Therapy, LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

2812 Commerce Rd
Jacksonville, NC 28546
Phone (910) 333-8050

Organizations & group practices 1

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1013736008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WELLINGTON PL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 KUHN DR STE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143551",
            "telephone_number": "619-864-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRACIA",
        "first_name": "MARCELA",
        "middle_name": "DENISSE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-24-383486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.