Active NPI
Abraham Carbajal
- Behavior Analyst
- Palm Desert, CA
National Provider Identifier
1386333755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 77824 Wildcat Dr
Palm Desert, CA 92211-1134 - Phone
- (909) 277-6090
- NPI assigned
- May 2, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
77824 Wildcat Dr
Palm Desert, CA 92211-1134
Mailing address
83126 Circle Dr
Indio, CA 92201-2545
Phone (760) 989-9703
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1386333755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83126 CIRCLE DR",
"city": "INDIO",
"state": "CA",
"postal_code": "922012545",
"telephone_number": "760-989-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77824 WILDCAT DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922111134",
"telephone_number": "909-277-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBAJAL",
"first_name": "ABRAHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.