Gretchen Alejandra Fidis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9360 Santa Anita Ave Ste 104
Rancho Cucamonga, CA 91730-6151

Phone

(909) 481-2080

Fax

(909) 277-7882

NPI assigned

Aug 7, 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

Practice roles

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.

• Collaborative Autism Management Programs Inc.

  • Behavior Analyst
  • Ontario, CA
  • NPI 1265995435
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1053966903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 SANTA ANITA AVE STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306151",
            "telephone_number": "909-481-2080",
            "fax_number": "909-277-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 SANTA ANITA AVE STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306151",
            "telephone_number": "909-481-2080",
            "fax_number": "909-277-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDIS",
        "first_name": "GRETCHEN",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferraro Chiropractic Corporation
• Christopher J Ferraro, DC
• Kevin Festa
• Christina Donato Festejo, REGISTERED NURSE
• Brooke Rylee Fickett
• Belinda Figueroa, MPH
• Fausto Figueroa III
• Giselle Figueroa
• Jasmine Figueroa
• Karen Figueroa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.