Active NPI
Giovanna Ruby Preciado
- Behavior Technician
- Chandler, AZ
National Provider Identifier
1760209696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- R46480042
- Practice address
- 4050 S Arizona Ave Ste L-1
Chandler, AZ 85248-4599 - Phone
- (480) 812-2110
- NPI assigned
- Sep 23, 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 | R46480042 | AZ | Primary |
Addresses
Primary practice location
4050 S Arizona Ave Ste L-1
Chandler, AZ 85248-4599
Mailing address
4050 S Arizona Ave Ste L-1
Chandler, AZ 85248-4599
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 |
|---|---|---|---|
| R46480042 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1760209696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 S ARIZONA AVE STE L-1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 S ARIZONA AVE STE L-1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484599",
"telephone_number": "480-812-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRECIADO",
"first_name": "GIOVANNA",
"middle_name": "RUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "R46480042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
- Janet M Pragit, D.O.
- Anishaben Prajapati
- Sree Prathipati, PHARMD
- Forrest John Pratt, DMD
- Stephen Earl Pray III, N.P.
- Robin Preciado, LMSW
- Precious Folks Assisted Living Facility
- Preferred Foot and Ankle Specialists of Arizona, PLLC
- Preferred Foot and Ankle Specialists of Arizona, PLLC
- Claire Elaine Prefontaine, SPEECH THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.