Active NPI
Dolores Kinverly Chua
- Behavior Technician
- Colton, CA
National Provider Identifier
1053115246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928 - Phone
- (909) 251-5284
- NPI assigned
- Apr 4, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928
Mailing address
1645 Valley Falls Ave
Redlands, CA 92374-5701
Phone (909) 633-5634
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masssvcs LLC | Behavior Technician | Current | Accepting new patients |
Locations
930 S Mount Vernon Ave
Ste 90
Colton, CA 92324
Phone (909) 252-7520
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": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1053115246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 VALLEY FALLS AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923745701",
"telephone_number": "909-633-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S MOUNT VERNON AVE STE 90",
"city": "COLTON",
"state": "CA",
"postal_code": "923243928",
"telephone_number": "909-251-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUA",
"first_name": "DOLORES",
"middle_name": "KINVERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.