Active NPI
Romelea Manucal, M.A.,B.C.B.A.
- Behavior Analyst
- Riverside, CA
National Provider Identifier
1508143488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-5287
- Practice address
- 7145 Magnolia Ave
Riverside, CA 92504-3805 - Phone
- (951) 686-2020
- NPI assigned
- Nov 7, 2011
- Last updated
- Nov 7, 2011
- 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 Analyst | 103K00000X | 1-09-5287 | CA | Primary |
Addresses
Primary practice location
7145 Magnolia Ave
Riverside, CA 92504-3805
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 345-2345
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1508143488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-345-2345",
"fax_number": "866-587-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043805",
"telephone_number": "951-686-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUCAL",
"first_name": "ROMELEA",
"credential": "M.A.,B.C.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-09-5287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.