Amy Anne Darcy Roark

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9333 Baseline Rd Ste 290
Rancho Cucamonga, CA 91730-1300

Phone

(909) 755-5220

Fax

(951) 905-1617

NPI assigned

Sep 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Darcy Roark Robinson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Key Essentials to Behavior Management, Corp

  • Behavior Analyst
  • Rancho Cucamonga, CA
  • NPI 1639680481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1467934844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53065 AVENIDA OBREGON",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922533440",
            "telephone_number": "714-907-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 BASELINE RD STE 290",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301300",
            "telephone_number": "909-755-5220",
            "fax_number": "951-905-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "AMY",
        "middle_name": "ANNE DARCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVERS LICENSE",
            "identifier": "A8046976",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCY",
            "last_name": "ROARK ROBINSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fatima S Rizvi, RPA
• RM Patel DDS, Inc.
• RMS Cherubim Health Care Services, Inc
• Clarice Roach-Smith, PT
• Katherine Roach, LCSW
• Donna Vest Robbins, SLP
• Emma Roberson
• Cadynce Roberts
• Jamie Danielle Roberts, M.A.
• Kevin Mathis Roberts, A.T.,C. , M ED.

• Behavior Technician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.