Active NPI
Richard Garduno, MA, BCBA
- Behavior Analyst
- West Covina, CA
National Provider Identifier
1285487710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72191
- Practice address
- 835 W Christopher St
West Covina, CA 91790-3702 - Phone
- (626) 223-7759
- NPI assigned
- Apr 5, 2024
- Last updated
- Apr 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-72191 | CA | Primary |
Addresses
Primary practice location
835 W Christopher St
West Covina, CA 91790-3702
Mailing address
4510 W 5TH St
Santa Ana, CA 92703-3165
Phone (310) 591-7298
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1285487710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 W 5TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927033165",
"telephone_number": "310-591-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 W CHRISTOPHER ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903702",
"telephone_number": "626-223-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDUNO",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-24-72191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.