Individual provider Active NPI

Ronalyne Simpliciano Ulep Carpio

  • Behavior Technician
  • Sacramento, CA
National Provider Identifier
1194216267
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-54479 Issued in CA
Practice address
8950 Cal Center Dr Ste 12
Sacramento, CA 95826-3259
Phone
(895) 013-7958
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-54479 CA Primary

Addresses

Primary practice location

8950 Cal Center Dr Ste 12
Sacramento, CA 95826-3259

Mailing address

PO Box 5157
Modesto, CA 95352-5157
Phone (209) 572-2589

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

LicenseStateTypeSpecialty
18-54479CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1194216267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5157",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953525157",
            "telephone_number": "209-572-2589",
            "fax_number": "209-572-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 CAL CENTER DR STE 12",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263259",
            "telephone_number": "895-013-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "RONALYNE",
        "middle_name": "SIMPLICIANO ULEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "18-54479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.