Imelda Chaparro Robles

Individual provider Active NPI Behavior Analyst · Newhall, CA

NPI 1164997730 · NPPES record last updated Oct 15, 2018

Key facts

NPI
1164997730
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-18-32095 (CA)
Practice address
23030 Lyons Ave Ste 200
Newhall, CA 91321-2754
Phone
(661) 425-7066
Fax
(805) 299-4505
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Field, Inc Behavior Analyst Past Accepting new patients
Vista Psychological Center, Inc Past
since May 10, 2020
Accepting new patients
Vista Psychological Center Inc Behavior Analyst Past
since May 10, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32095 CA Yes

Addresses

Primary practice location

23030 Lyons Ave Ste 200
Newhall, CA 91321-2754

Mailing address

3905 State St Ste 7-276
Santa Barbara, CA 93105-3138
Phone (661) 425-7066

Other identifiers

IdentifierTypeStateIssuer
1-18-32095OtherCABCBA

Other providers in Newhall, CA

All providers in Newhall, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.