Active NPI
Audrey Marie Crenshaw-Walker
- Behavior Technician
- Colton, CA
National Provider Identifier
1760193510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-174231
- Practice address
- 930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928 - Phone
- (909) 660-0097
- NPI assigned
- Dec 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | RBT-21-174231 | CA | Primary |
Addresses
Primary practice location
930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928
Mailing address
4930 Naples St
San Diego, CA 92110-3820
Phone (619) 276-1176
Other practice location 1
12459 Lewis St Ste 201
Garden Grove, CA 92840-6606
Phone (800) 249-1266
Other practice location 2
4930 Naples St
San Diego, CA 92110-3820
Phone (619) 276-1176
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-174231 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masssvcs LLC | Behavior Technician | Current | Accepting new patients |
Locations
930 S Mount Vernon Ave
Ste 90
Colton, CA 92324
Phone (909) 252-7520
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1760193510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 NAPLES ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103820",
"telephone_number": "619-276-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S MOUNT VERNON AVE STE 90",
"city": "COLTON",
"state": "CA",
"postal_code": "923243928",
"telephone_number": "909-660-0097"
}
],
"practiceLocations": [
{
"address_1": "12459 Lewis St Ste 201",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928406606",
"country_code": "US",
"telephone_number": "800-249-1266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4930 Naples St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921103820",
"country_code": "US",
"telephone_number": "619-276-1176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRENSHAW-WALKER",
"first_name": "AUDREY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-21-174231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.