Individual provider Active NPI

Heiddy Arellano

  • Behavior Technician
  • Fresno, CA
National Provider Identifier
1114589744
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5377 N. Fresno St. Suite 103
Fresno, CA 93710-6874
Phone
(877) 418-2978
Fax
(877) 418-2978
NPI assigned
Jul 3, 2019
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5377 N. Fresno St. Suite 103
Fresno, CA 93710-6874

Mailing address

350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834
Phone (877) 418-2978

Other practice location 1

3239 E Tenaya Way
Fresno, CA 93710-5924
Phone (559) 298-0697

Other practice location 2

4205 W Figarden Dr
Fresno, CA 93722-6051
Phone (559) 221-1680

Other practice location 3

1797 San Jose Ave
Clovis, CA 93611-3078
Phone (559) 298-0699

Other practice location 4

2361 Sample Ave
Clovis, CA 93611-5425
Phone (559) 323-4502

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

OrganizationSpecialtyStatusNew patients
2ND Home Incorporated CurrentSince Sep 1, 2022 Accepting new patients
2ND Home Incorporated PastSince Jun 21, 2022 Accepting new patients
JDT Consultants Inc Past Accepting new patients
2ND Home Incorporated PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1114589744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FAIRWAY DR STE 101",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334411834",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 N. FRESNO ST. SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106874",
            "telephone_number": "877-418-2978",
            "fax_number": "877-418-2978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3239 E Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105924",
            "country_code": "US",
            "telephone_number": "559-298-0697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205 W Figarden Dr",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937226051",
            "country_code": "US",
            "telephone_number": "559-221-1680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1797 San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936113078",
            "country_code": "US",
            "telephone_number": "559-298-0699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2361 Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936115425",
            "country_code": "US",
            "telephone_number": "559-323-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "HEIDDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.