Individual provider Active NPI

Roida Tambunan, BCBA

  • Behavior Analyst
  • Rocklin, CA
National Provider Identifier
1356844914
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30625 Issued in CA
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

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.