Individual provider Active NPI

Casta Estela Flores, ABA BEHAVIOR TECHNIC

  • Behavior Technician
  • Rialto, CA
National Provider Identifier
1346012705
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1142 W Buxton St
Rialto, CA 92377-8833
Phone
(909) 419-0967
NPI assigned
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 Primary

Addresses

Primary practice location

1142 W Buxton St
Rialto, CA 92377-8833

Mailing address

53148 Calle Avila
Coachella, CA 92236-3008
Phone (323) 450-6744

Other practice location 1

53148 Calle Avila
Coachella, CA 92236-3008
Phone (323) 450-6744

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
Associate of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Behavioral Concepts Inc Behavior Technician CurrentSince Nov 24, 2024 Accepting new patients

Organizations & group practices 1

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": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1346012705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53148 CALLE AVILA",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922363008",
            "telephone_number": "323-450-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W BUXTON ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923778833",
            "telephone_number": "909-419-0967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53148 Calle Avila",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922363008",
            "country_code": "US",
            "telephone_number": "323-450-6744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "CASTA",
        "middle_name": "ESTELA",
        "credential": "ABA BEHAVIOR TECHNIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

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