Stephanie Reyes Cervantes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317

Phone

(801) 935-4171

NPI assigned

Apr 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abs Psychology Services California

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1336659002
  NPD (past)
• Alternative Behavior Strategies, LLC

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1962765693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1750136057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32326 CLINTON KEITH RD STE 201",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957317",
            "telephone_number": "801-935-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32326 CLINTON KEITH RD STE 201",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957317",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES CERVANTES",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Reindl
• Justine Reiss, RBT
• Jael Renteria
• Melissa Renteria, RBT
• Alissa Retter
• Carla Reyes
• Yessenya Reyes
• Vanessa Rincon Flores
• Leyla Rincon
• Rise Above Treatment Inc

• All providers in Wildomar, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.