Autism Heroes

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM HEROES

Practice address

420 Brookside Ave
Redlands, CA 92373-4610

Phone

(909) 793-2020

NPI assigned

Feb 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Xochitl Estrada Marroquin, M.S.

Title

Program Director

Phone

(661) 609-1415

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Vink, PA-C

  • Physician Assistant
  • Redlands, CA
  • NPI 1851866511
  NPD
• Jessica Higareda

  • Behavior Technician
  • Redlands, CA
  • NPI 1053879213
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1831722461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BROOKSIDE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BROOKSIDE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734610",
            "telephone_number": "909-793-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM HEROES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "ESTRADA MARROQUIN",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "661-609-1415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryar Aslam, DDS
• Omar Assali
• Robert Aulick, D.D.S.
• Meggan Anne Austin
• Tara Christene Rovney Austin, LVN
• Ericalynn Shifter Avalos, M.S.
• Avicenna Clinical Inc
• David Roberto Avila, NP
• Shirley Avila
• Aviva Hospice, Inc.

• Behavior Analyst in Redlands, CA
• Providers in Redlands, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.