Dezerae Casares, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71932 Issued in CA

Practice address

1445 Celis St
San Fernando, CA 91340-3207

Phone

(818) 741-1299

Fax

(818) 991-7722

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Quality Behavior Solutions, LLC

  dba Alongside ABA

  • Behavior Analyst
  • Van Nuys, CA
  • NPI 1518352186
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1114786936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY STE 175",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063847",
            "telephone_number": "818-991-7722",
            "fax_number": "818-991-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 CELIS ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403207",
            "telephone_number": "818-741-1299",
            "fax_number": "818-991-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASARES",
        "first_name": "DEZERAE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-24-71932",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-21-168058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Escalona Carranza, LCSW
• Jamie Carranza
• Melissa Carreon, RBT
• Maricela Carrillo
• Casa Blanca Pharmacy Inc (Casa Blanca Pharmacy)
• Marlen Casillas
• Andres Felipe Castaneda
• Angie Castell
• Veronica Castellanos, NURSE PRACTITIONER
• Giovanni Christian Castelli

• Behavior Analyst in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.