Individual provider Active NPI

Cassandra Rodriguez

  • Behavior Technician
  • Rancho Cucamonga, CA
National Provider Identifier
1366220972
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8580 Utica Ave Ste 200
Rancho Cucamonga, CA 91730-4870
Phone
(909) 435-7189
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

8580 Utica Ave Ste 200
Rancho Cucamonga, CA 91730-4870

Mailing address

1901 Orange Tree LN Ste 220
Redlands, CA 92374-4582
Phone (909) 435-7189

Other practice location 1

1901 Orange Tree Ln Ste 220
Redlands, CA 92374-4582
Phone (909) 435-7189

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
Morningstar Educational & Psychological Services, Inc. CurrentSince Oct 22, 2023 Accepting new patients

Locations

8580 Utica Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 257-8809

1901 Orange Tree Ln
Ste 220
Redlands, CA 92374
Phone (909) 435-7189

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1366220972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ORANGE TREE LN STE 220",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744582",
            "telephone_number": "909-435-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 UTICA AVE STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304870",
            "telephone_number": "909-435-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Orange Tree Ln Ste 220",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744582",
            "country_code": "US",
            "telephone_number": "909-435-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "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 Sep 15, 2023; 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.