Individual provider Active NPI

Daniela Fernanda Troncoso, RBT

  • Behavior Technician
  • Garden Grove, CA
National Provider Identifier
1568282200
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-320200 Issued in CA
Practice address
12443 Lewis St Ste 202
Garden Grove, CA 92840-4650
Phone
(714) 707-2805
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-320200 CA Primary

Addresses

Primary practice location

12443 Lewis St Ste 202
Garden Grove, CA 92840-4650

Mailing address

12443 Lewis St Ste 202
Garden Grove, CA 92840-4650
Phone (714) 707-2805

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

State licenses

LicenseStateTypeSpecialty
RBT-24-320200CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Spectrum Connection LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

12443 Lewis St
Ste 202
Garden Grove, CA 92840
Phone (714) 707-2805

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1568282200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 LEWIS ST STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404650",
            "telephone_number": "714-707-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 LEWIS ST STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404650",
            "telephone_number": "714-707-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONCOSO",
        "first_name": "DANIELA",
        "middle_name": "FERNANDA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-24-320200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.