Active NPI
Ruby Fabela, RAD COUNSELOR
- Behavior Technician
- Fresno, CA
National Provider Identifier
1891236337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7120 N Marks Ave
110
Fresno, CA 93711-0268 - Phone
- (559) 439-5437
- NPI assigned
- Mar 16, 2017
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7120 N Marks Ave
110
Fresno, CA 93711-0268
Mailing address
2825 W Rumble Rd
Modesto, CA 95350-0185
Phone (209) 222-2378
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": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1891236337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 W RUMBLE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500185",
"telephone_number": "209-222-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 N MARKS AVE",
"address_2": "110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110268",
"telephone_number": "559-439-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABELA",
"first_name": "RUBY",
"credential": "RAD COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.