Active NPI
Angela C Wall
- Behavior Technician
- Rancho Cucamonga, CA
National Provider Identifier
1528979523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11799 Sebastian Way Ste 103
Rancho Cucamonga, CA 91730-0708 - Phone
- (951) 420-7130
- NPI assigned
- Sep 16, 2026
- 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 | CA | Primary |
Addresses
Primary practice location
11799 Sebastian Way Ste 103
Rancho Cucamonga, CA 91730-0708
Mailing address
12250 17TH St Apt 7
Yucaipa, CA 92399-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1528979523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12250 17TH ST APT 7",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923991500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11799 SEBASTIAN WAY STE 103",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300708",
"telephone_number": "951-420-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "ANGELA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.