Active NPI
Dimitriana Mayo
- Behavior Technician
- Ontario, CA
National Provider Identifier
1427715655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4688 Ontario Mills Pkwy
Ontario, CA 91764-5104 - Phone
- (714) 834-1111
- NPI assigned
- Nov 22, 2021
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Mailing address
9989 Feron Blvd Apt a
Rancho Cucamonga, CA 91730-5291
Phone (909) 503-3251
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 |
|---|---|---|---|
| Behavior Genius LLC | Behavior Technician | Past | 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": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1427715655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9989 FERON BLVD APT A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305291",
"telephone_number": "909-503-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4688 ONTARIO MILLS PKWY",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645104",
"telephone_number": "714-834-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "DIMITRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.