Minika Nicole Evans

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1500 S Haven Ave Ste 250
Ontario, CA 91761-2973

Phone

(909) 749-5204

NPI assigned

Aug 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1588912786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S HAVEN AVE STE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612973",
            "telephone_number": "909-749-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S HAVEN AVE STE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612973",
            "telephone_number": "909-749-5204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9405 S Eastern Ave",
            "address_2": "1053",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891233989",
            "country_code": "US",
            "telephone_number": "702-764-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MINIKA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramiro V Estrella Jr.
• Sean Phillip Estrella, LPT
• Kasidy Starr Etchepare
• Myrna Evangelista
• Kimberly Evans
• Rebecca Evans
• Rebecca Ruth Evert
• Ivy Evins
• Jessica R Ewing
• Zephaniah Solomon Ewingchow

• Behavior Technician in Ontario, CA
• Providers in Ontario, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.