Individual provider Active NPI

Ryanne Aurelee Trias Garza, BCBA

  • Behavior Analyst
  • Fresno, CA
National Provider Identifier
1730574955
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-17956 Issued in CA
Practice address
7413 N Cedar Ave Ste 103
Fresno, CA 93720-3833
Phone
(559) 930-2720
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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 1-15-17956 CA Primary

Addresses

Primary practice location

7413 N Cedar Ave Ste 103
Fresno, CA 93720-3833

Mailing address

5432 W Athens Ave
Fresno, CA 93722-2700
Phone (559) 907-6126

Other practice location 1

5432 W Athens Ave
Fresno, CA 93722-2700
Phone (559) 907-6126

Other names 1

  • Miss Ryanne Trias Amomonpon Other 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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1730574955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 W ATHENS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222700",
            "telephone_number": "559-907-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 N CEDAR AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203833",
            "telephone_number": "559-930-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5432 W Athens Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937222700",
            "country_code": "US",
            "telephone_number": "559-907-6126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "RYANNE AURELEE",
        "middle_name": "TRIAS",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-17956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYANNE",
            "last_name": "AMOMONPON",
            "middle_name": "TRIAS",
            "prefix": "MISS",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.