Individual provider Active NPI

Deysi Carolina Cisneros Gutierrez, BCBA

  • Behavior Analyst
  • Bakersfield, CA
National Provider Identifier
1518635853
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52473 Issued in CA
Practice address
4900 California Ave Ste 100a
Bakersfield, CA 93309-7027
Phone
(661) 843-1930
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-52473 CA Primary

Addresses

Primary practice location

4900 California Ave Ste 100a
Bakersfield, CA 93309-7027

Mailing address

5909 Carrotwood Ave
Bakersfield, CA 93313-9462
Phone (661) 912-3956

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcisneros.gutierrez@calpsychcare.com

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1518635853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 CARROTWOOD AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933139462",
            "telephone_number": "661-912-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 100A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097027",
            "telephone_number": "661-843-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS GUTIERREZ",
        "first_name": "DEYSI",
        "middle_name": "CAROLINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-52473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcisneros.gutierrez@calpsychcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4900 California Ave Ste 100A",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933097027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.