Molly Regine Winterbottom / Stanaland

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-15188 Issued in CA

Practice address

17752 Sky Park Cir Ste 140
Irvine, CA 92614-4469

Phone

(949) 474-5577

Fax

(949) 475-5575

NPI assigned

Jul 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Autism Spectrum Consultants

  • Developmentally Disabled Services Day Training Agency
  • Irvine, CA
  • NPI 1306167994
  NPD (past)

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1184305492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30802 MARILYN DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926518122",
            "telephone_number": "949-295-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144469",
            "telephone_number": "949-474-5577",
            "fax_number": "949-475-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERBOTTOM / STANALAND",
        "first_name": "MOLLY",
        "middle_name": "REGINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-16-15188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bsanchez@ascaba.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17752 Sky Park Cir Ste 140",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926144469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Winarko, MD
• Windermere Dental Group,PC
• Kathleen Rose Wingert, BCN
• Irina Winquist, DPT
• Kristin M Winslow, OT
• Aubrey Wintermute-Anzis
• Carol Ann Wintermute, DC
• Brad Winther, RPH
• Stephanie Antonia Wishom
• Withana DMD Corporation

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.