NPIMap

Organization Active NPI

Maricel Domiquel

  • Behavior Analyst
  • Rancho Cucamonga, CA
National Provider Identifier
1295100089
Registry record updated Dec 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MARICEL DOMIQUEL
Practice address
10808 Foothill Blvd # 198
Rancho Cucamonga, CA 91730-3889
Phone
(626) 513-3847
NPI assigned
Dec 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2015

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

Authorized official

Name
Ms. Maricel Tabares Domiquel, MANPI 1104343409
Title
Program Supervisor
Phone
(626) 513-3847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10808 Foothill Blvd # 198
Rancho Cucamonga, CA 91730-3889

Mailing address

10808 Foothill Blvd # 198
Rancho Cucamonga, CA 91730-3889
Phone (626) 513-3847

National Provider Directory

National Provider Directory

Locations

10808 Foothill Blvd
#198
Rancho Cucamonga, CA 91730
Phone (626) 513-3847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449273600000",
    "number": "1295100089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD # 198",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "626-513-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD # 198",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "626-513-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICEL DOMIQUEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2015-12-05",
        "status": "A",
        "authorized_official_last_name": "DOMIQUEL",
        "authorized_official_first_name": "MARICEL",
        "authorized_official_middle_name": "TABARES",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "626-513-3847",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; 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.