Active NPI
Carlo Miguel Farrales, BS
- Behavior Technician
- Manhattan Beach, CA
National Provider Identifier
1750899720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-30298
- Practice address
- 1230 Rosecrans Ave Ste 250
Manhattan Beach, CA 90266-2496 - Phone
- (310) 406-1500
- NPI assigned
- Jan 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | RBT-17-30298 | CA | Primary |
Addresses
Primary practice location
1230 Rosecrans Ave Ste 250
Manhattan Beach, CA 90266-2496
Mailing address
3953 W 178TH St Apt B
Torrance, CA 90504-3826
Phone (310) 977-6766
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-30298 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1750899720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3953 W 178TH ST APT B",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905043826",
"telephone_number": "310-977-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 ROSECRANS AVE STE 250",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662496",
"telephone_number": "310-406-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRALES",
"first_name": "CARLO",
"middle_name": "MIGUEL",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-17-30298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.