Active NPI
Clarissa Monique Cervantes Medina
- Behavior Technician
- Concord, CA
National Provider Identifier
1740023977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1200 Concord Ave Ste 185
Concord, CA 94520-5006 - Phone
- (866) 273-2451
- Fax
- (866) 608-5560
- NPI assigned
- Jun 15, 2024
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Mailing address
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Other practice location 1
6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451
Other practice location 2
1408 8th St
Alamogordo, NM 88310-5115
Phone (866) 273-2451
Other practice location 3
201 E Las Cruces Ave Ste 1501
Las Cruces, NM 88001-3488
Phone (866) 273-2451
Other practice location 4
1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (866) 273-2451
Other practice location 5
500 N Hudson St
Silver City, NM 88061-5435
Phone (866) 273-2451
Other practice location 6
1224 W 21st St
Clovis, NM 88101-4199
Phone (866) 273-2451
Other practice location 7
2301 E 20th St
Farmington, NM 87401-8905
Phone (866) 273-2451
Other practice location 8
100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (866) 273-2451
Other practice location 9
2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (866) 273-2451
Other practice location 10
221 N Kansas St Ste 700
El Paso, TX 79901-1444
Phone (866) 273-2451
Other practice location 11
201 N 4th St
Artesia, NM 88210-2168
Phone (866) 273-2451
Other practice location 12
115 E College Blvd
Roswell, NM 88201-5158
Phone (866) 273-2451
Other practice location 13
950 W Aztec Ave
Gallup, NM 87301-6666
Phone (866) 273-2451
Other practice location 14
301 N Canyon St
Carlsbad, NM 88220-5809
Phone (866) 273-2451
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Change Institute, LLC. | Behavior Technician | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Alamogordo, NM
- NPI 1730517889
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1740023977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560"
}
],
"practiceLocations": [
{
"address_1": "6565 Americas Pkwy NE Ste 200",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871108172",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1408 8th St",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883105115",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Las Cruces Ave Ste 1501",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880013488",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Marquez Pl Unit 106B",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875051833",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 N Hudson St",
"address_purpose": "LOCATION",
"city": "Silver City",
"state": "NM",
"postal_code": "880615435",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1224 W 21st St",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881014199",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 E 20th St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874018905",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Gossett Dr Ste B",
"address_purpose": "LOCATION",
"city": "Aztec",
"state": "NM",
"postal_code": "874104529",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 S Alma School Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852864400",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 N Kansas St Ste 700",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799011444",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N 4th St",
"address_purpose": "LOCATION",
"city": "Artesia",
"state": "NM",
"postal_code": "882102168",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 E College Blvd",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015158",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 W Aztec Ave",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873016666",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 N Canyon St",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "NM",
"postal_code": "882205809",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERVANTES MEDINA",
"first_name": "CLARISSA",
"middle_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-15",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.