Ralph Lloyd Bantug, QASP-S

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

BACB1109673 Issued in CA

Practice address

14427 Meridian Pkwy
Riverside, CA 92518-3014

Phone

(855) 581-0100

NPI assigned

Oct 7, 2020

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1255938627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 N TUSTIN AVE STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057875",
            "telephone_number": "855-581-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14427 MERIDIAN PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183014",
            "telephone_number": "855-581-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTUG",
        "first_name": "RALPH",
        "middle_name": "LLOYD",
        "credential": "QASP-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "BACB1109673",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra T Banks, MFTI
• Nicholas William Banks, MD
• Ivette Roxana Banos Naranjo, CHW
• Francisco Javier Banos
• Christa Ann Banton, LMFT
• Victoria Banuelas, PA
• Josahina Banuelos Mercado
• Desiree Banuelos
• Evony Banuelos
• Ilianne Banuelos

• Assistant Behavior Analyst in Riverside, CA
• Providers in Riverside, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.