NPIMap

Individual provider Active NPI

Ilene Allinger Candreva, MSW. BCBA

  • Behavior Analyst
  • Monterey, CA
National Provider Identifier
1902207111
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
#1-14-15147 Issued in CA
Practice address
1900 Garden Rd
Suite 230
Monterey, CA 93940-5373
Phone
(831) 372-2730
NPI assigned
Sep 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X #1-14-15147 CA Primary

Addresses

Primary practice location

1900 Garden Rd
Suite 230
Monterey, CA 93940-5373

Mailing address

1900 Garden Rd
Suite 230
Monterey, CA 93940-5373
Phone (831) 372-2730

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

Practice roles

OrganizationSpecialtyStatusNew patients
Special Kids Crusade Past Accepting new patients
Special Kids Crusade Past Accepting new patients
Tucci Learning Solutions, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1902207111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD",
            "address_2": "SUITE 230",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405373",
            "telephone_number": "831-372-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD",
            "address_2": "SUITE 230",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405373",
            "telephone_number": "831-372-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDREVA",
        "first_name": "ILENE",
        "middle_name": "ALLINGER",
        "credential": "MSW. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "#1-14-15147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; 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.