Carol De Anda

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10513 Magnolia Ave SPC G4
Riverside, CA 92505-1830

Phone

(562) 822-3809

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1760953913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10513 MAGNOLIA AVE SPC G4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051830",
            "telephone_number": "562-822-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 MAGNOLIA AVE SPC G4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051830",
            "telephone_number": "562-822-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANDA",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliya Anatolievna Day, NONE
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• DDS of Shahgaldian Dental Corp
• Jasmine Ivette Villalta De Alba, LCSW
• Jazmin De Anda- Fuentes
• Lesly Monic De Anda
• Nicole De Angelis
• De Anza Obstetrics and Gynecology Medical Group, Inc.
• De Anza Surgery Center
• Austin Taylor De Falkenberg

• Behavior Technician in Riverside, CA
• Providers in Riverside, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.