Savannah Faith Baclit

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

5340 Myra Ave
Cypress, CA 90630-4569

Phone

(714) 828-6400

Fax

(714) 828-3400

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1639831779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MYRA AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304559",
            "telephone_number": "714-828-6400",
            "fax_number": "714-828-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 MYRA AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304569",
            "telephone_number": "714-828-6400",
            "fax_number": "714-828-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16782 Von Karman Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926062417",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5252 Orange Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906302967",
            "country_code": "US",
            "telephone_number": "657-213-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACLIT",
        "first_name": "SAVANNAH",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monae Janelle Arredondo
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• Associated Physicians Medical Group, Inc.
• Samuel Au, DDS
• Maxton Baeza
• Jonathan Baik, DPT
• Rondelle J Bake, OTR/L
• Christian Beltrano Baldon
• Noel Leoncio Quiambao Balilo, NP-C

• Assistant Behavior Analyst in Cypress, CA
• Providers in Cypress, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.