Individual provider Active NPI

Jose Eduardo Vicente Candelario, MS

  • Behavior Analyst
  • Modesto, CA
National Provider Identifier
1225480346
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11937992 Issued in CA
Practice address
121 E Orangeburg Ave Ste 16
Modesto, CA 95350-5340
Phone
(209) 585-3321
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11937992 CA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

121 E Orangeburg Ave Ste 16
Modesto, CA 95350-5340

Mailing address

1131 Colorado Ave Apt 101
Turlock, CA 95380-2700
Phone (760) 905-2479

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvice16@hotmail.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11937992CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Innovating Behaviors LLC Behavior Analyst CurrentSince Dec 1, 2021 Accepting new patients
Innovating Behaviors Inc Behavior Analyst PastSince Sep 28, 2025 Accepting new patients

Locations

121 E Orangeburg Ave
Ste 16
Modesto, CA 95350
Phone (209) 585-3321

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1225480346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 COLORADO AVE APT 101",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802700",
            "telephone_number": "760-905-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ORANGEBURG AVE STE 16",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505340",
            "telephone_number": "209-585-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE CANDELARIO",
        "first_name": "JOSE",
        "middle_name": "EDUARDO",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11937992",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvice16@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1131 Colorado Ave Apt 101",
            "city": "Turlock",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953802700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.