Celeste Crystal Resendiz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-34323 Issued in CA

Practice address

11175 Azusa CT Ste 115
Rancho Cucamonga, CA 91730-4930

Phone

(877) 323-4283

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1033761150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 AZUSA CT STE 115",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 AZUSA CT STE 115",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304930",
            "telephone_number": "877-323-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Shelby Street",
            "address_2": "Suite 200 #1005",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "91764",
            "country_code": "US",
            "telephone_number": "760-716-8113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 Shelby St",
            "address_2": "Suite 200 #1053",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "91764",
            "country_code": "US",
            "telephone_number": "760-716-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESENDIZ",
        "first_name": "CELESTE",
        "middle_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-34323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.