Individual provider Active NPI

Mariana Ayleen Irlanda

  • Behavior Analyst
  • Palm Springs, CA
National Provider Identifier
1639903719
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1111 E Tahquitz Canyon Way Ste 110
Palm Springs, CA 92262-0113
Phone
(951) 440-6220
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 NU Primary

Addresses

Primary practice location

1111 E Tahquitz Canyon Way Ste 110
Palm Springs, CA 92262-0113

Mailing address

33 Copper Dr
Twentynine Palms, CA 92277-5072
Phone (760) 362-9022

Other names 1

  • Mariana Aylen Contreras Former name

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1639903719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COPPER DR",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922775072",
            "telephone_number": "760-362-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E TAHQUITZ CANYON WAY STE 110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922620113",
            "telephone_number": "951-440-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRLANDA",
        "first_name": "MARIANA",
        "middle_name": "AYLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "CONTRERAS",
            "middle_name": "AYLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.