Active NPI
Lydia Ruvalcaba, M.S., BCBA
- Behavior Analyst
- Torrance, CA
National Provider Identifier
1669948782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23255
- Practice address
- 19750 S Vermont Ave Ste 140
Torrance, CA 90502-1130 - Phone
- (714) 724-5109
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-16-23255 | CA | Primary |
Addresses
Primary practice location
19750 S Vermont Ave Ste 140
Torrance, CA 90502-1130
Mailing address
19750 S Vermont Ave Ste 140
Torrance, CA 90502-1130
Phone (714) 724-5109
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1669948782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19750 S VERMONT AVE STE 140",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021130",
"telephone_number": "714-724-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19750 S VERMONT AVE STE 140",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021130",
"telephone_number": "714-724-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUVALCABA",
"first_name": "LYDIA",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-23255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.