Active NPI
Ruby Avalos
- Assistant Behavior Analyst
- Gardena, CA
National Provider Identifier
1780260612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 879 W 190TH St Ste 400
Gardena, CA 90248-4223 - Phone
- (323) 302-9997
- Fax
- (818) 736-4189
- NPI assigned
- Mar 22, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
879 W 190TH St Ste 400
Gardena, CA 90248-4223
Mailing address
1501 W Cameron Ave Ste 215
West Covina, CA 91790-2724
Phone (323) 302-9997
Other practice location 1
1000 Lakes Dr Ste 320
West Covina, CA 91790-2938
Phone (888) 428-3223
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1780260612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 W CAMERON AVE STE 215",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902724",
"telephone_number": "323-302-9997",
"fax_number": "818-736-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 400",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "323-302-9997",
"fax_number": "818-736-4189"
}
],
"practiceLocations": [
{
"address_1": "1000 Lakes Dr Ste 320",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917902938",
"country_code": "US",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVALOS",
"first_name": "RUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.