Individual provider Active NPI

Jorge De Cardenas, LBA- BCBA

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1720600224
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-002092 Issued in AZ
Practice address
2045 S Vineyard Ste 223
Mesa, AZ 85210-6826
Phone
(480) 656-3530
Fax
(480) 685-9879
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-002092 AZ Primary
Behavior Technician 106S00000X RBT-1-07-3468 AZ

Addresses

Primary practice location

2045 S Vineyard Ste 223
Mesa, AZ 85210-6826

Mailing address

3249 E Indigo Bay CT
Gilbert, AZ 85234-1736
Phone (602) 615-8205

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Behavioral Solutions Behavior Analyst PastSince May 10, 2020 Accepting new patients

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1720600224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 E INDIGO BAY CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341736",
            "telephone_number": "602-615-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 223",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106826",
            "telephone_number": "480-656-3530",
            "fax_number": "480-685-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CARDENAS",
        "first_name": "JORGE",
        "credential": "LBA- BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-002092",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-1-07-3468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.