Maryrose Cachola, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12040644 Issued in CA

Practice address

31200 Landau Blvd Apt 2810
Cathedral City, CA 92234-5146

Phone

(760) 413-8611

NPI assigned

Sep 16, 2020

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

State licenses

Practice roles

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.

• The Butterfly Behavioral Center

  • Behavior Analyst
  • Cathedral City, CA
  • NPI 1194483578
  NPD Authorized official

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1821604703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31200 LANDAU BLVD APT 2810",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345146",
            "telephone_number": "760-413-8611",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31200 LANDAU BLVD APT 2810",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345146",
            "telephone_number": "760-413-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHOLA",
        "first_name": "MARYROSE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12040644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Thien Trang Nguyen Bui
• Stephen Ray Burchard, CADCA
• Bridget V Burden, PT
• Jasmine L Burden, CADC-II
• Mark Paul Butzko
• California Behavioral Health, LLC
• Calmed Hospice Care, Inc
• Fabian Camarena-Huerta
• Alexander Jay Camarillo, DPT
• Ernest U Campos, DO

• Behavior Analyst in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.