Individual provider Active NPI

Celina Angelica Mayorga Quant, BCBA

  • Behavior Analyst
  • Sacramento, CA
National Provider Identifier
1518455880
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46041 Issued in CA
Practice address
3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697
Phone
(916) 632-1330
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-46041 CA Primary
Behavior Technician 106S00000X 16-15408

Addresses

Primary practice location

3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697

Mailing address

18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Phone (310) 856-0800

Other practice location 1

8950 Cal Center Dr Ste 137
Sacramento, CA 95826-3236
Phone (916) 923-1789

Other practice location 2

1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Phone (916) 923-1789

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
Advance Education, Inc. Behavior Analyst Past Accepting new patients
Behavior Frontiers, LLC Behavior Analyst PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1518455880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE STE 408",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483858",
            "telephone_number": "310-856-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 BRADSHAW RD STE 140",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272697",
            "telephone_number": "916-632-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 Cal Center Dr Ste 137",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263236",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Royal Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154235",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYORGA QUANT",
        "first_name": "CELINA",
        "middle_name": "ANGELICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-46041",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "16-15408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.