Active NPI
Roida Tambunan, BCBA
- Behavior Analyst
- Rocklin, CA
National Provider Identifier
1356844914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30625
- Practice address
- 6960 Destiny Dr
Rocklin, CA 95677-2993 - Phone
- (916) 805-0224
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 1-18-30625 | CA | Primary |
Addresses
Primary practice location
6960 Destiny Dr
Rocklin, CA 95677-2993
Mailing address
6960 Destiny Dr Ste 117
Rocklin, CA 95677-2995
Phone (916) 805-0224
Other practice location 1
2751 Wilmington Ave
Sacramento, CA 95820-1048
Phone (916) 923-1789
Other practice location 2
8950 Cal Center Dr Ste 137
Sacramento, CA 95826-3236
Phone (916) 932-3172
Other practice location 3
1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Phone (916) 923-1789
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | coordinator@abainaction.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Education, Inc. | Behavior Analyst | Past | Accepting new patients |
| Center for Learning and Autism Support Services, Inc. | Behavior Analyst | Past | Accepting new patients |
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.
-
dba Class
- Early Intervention Provider Agency
- San Mateo, CA
- NPI 1417139288
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1356844914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6960 DESTINY DR STE 117",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772995",
"telephone_number": "916-805-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 DESTINY DR",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772993",
"telephone_number": "916-805-0224"
}
],
"practiceLocations": [
{
"address_1": "2751 Wilmington Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958201048",
"country_code": "US",
"telephone_number": "916-923-1789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8950 Cal Center Dr Ste 137",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958263236",
"country_code": "US",
"telephone_number": "916-932-3172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Royal Oaks Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958154235",
"country_code": "US",
"telephone_number": "916-923-1789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAMBUNAN",
"first_name": "ROIDA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-30625",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "coordinator@abainaction.com",
"affiliation": "N",
"endpointDescription": "Secured Email",
"address_1": "6960 Destiny Dr",
"city": "Rocklin",
"state": "CA",
"country_code": "US",
"postal_code": "956772993",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rocklin, CA
- Synapse Chiropractic a Sahota Corporation
- Synergy Medical Associates
- Stephen S Taft V, MFT# 53360
- Liliana T Taggart
- Hilary Lee Taglio, D.C.
- Jenny Tang, PT
- Taylor Tarble
- Shawn Christopher Tarte
- Tasker and Rowan Dental Corporation of Milpitas (Little Fish Dental)
- Tavallaei, D.M.D., Corporation (Make a Smile)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.