Active NPI
Eric Matthew Cardenas, B.C.B.A
- Behavior Analyst
- Camarillo, CA
National Provider Identifier
1104167246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13276
- Practice address
- 621 Via Alondra
Suite 611-a
Camarillo, CA 93012 - Phone
- (805) 383-5566
- Fax
- (888) 659-0031
- NPI assigned
- Mar 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-13-13276 | NY | Primary |
Addresses
Primary practice location
621 Via Alondra
Suite 611-a
Camarillo, CA 93012
Mailing address
79 Walker St
Malverne, NY 11565-1830
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1104167246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 WALKER ST",
"city": "MALVERNE",
"state": "NY",
"postal_code": "115651830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 VIA ALONDRA",
"address_2": "SUITE 611-A",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93012",
"telephone_number": "805-383-5566",
"fax_number": "888-659-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "ERIC",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "B.C.B.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1-13-13276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.