Active NPI
Christian Rene Ruiz-Betancourth
- Behavior Analyst
- Escondido, CA
National Provider Identifier
1104664267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 562 W Grand Ave
Escondido, CA 92025-2502 - Phone
- (760) 691-9622
- NPI assigned
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary | |
| Behavior Technician | 106S00000X | RBT-24-360736 | CA |
Addresses
Primary practice location
562 W Grand Ave
Escondido, CA 92025-2502
Mailing address
161 Cregar St
Oceanside, CA 92054-3607
Other practice location 1
510 Civic Center Dr
Vista, CA 92084-6169
Phone (760) 691-9622
Other practice location 2
1637 Capalina Rd
San Marcos, CA 92069-1207
Phone (760) 691-9622
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-360736 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avid ABA Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Escondido, CA
- NPI 1205370806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1104664267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 CREGAR ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 W GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252502",
"telephone_number": "760-691-9622"
}
],
"practiceLocations": [
{
"address_1": "510 Civic Center Dr",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920846169",
"country_code": "US",
"telephone_number": "760-691-9622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1637 Capalina Rd",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920691207",
"country_code": "US",
"telephone_number": "760-691-9622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ-BETANCOURTH",
"first_name": "CHRISTIAN",
"middle_name": "RENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-24-360736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.