Roxana Jeanette Cardenas, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49052 Issued in CA

Practice address

1320 E Shaw Ave Ste 110
Fresno, CA 93710-7905

Phone

(559) 754-1517

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• A Change in Trajectory, Inc.

  • Behavior Analyst
  • Van Nuys, CA
  • NPI 1750646667
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1912466178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052003",
            "telephone_number": "818-235-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E SHAW AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107905",
            "telephone_number": "559-754-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "ROXANA",
        "middle_name": "JEANETTE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-17-8262",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Cardenas
• Manuel Ivan Cardenas
• Maricela Cardenas
• Mirian Carimi Cardenas, LMFT
• Patricia L Cardenas, CPHT
• Yadira Cardenas
• Yvette Cardenas
• Cardiac Institute of Central California a Medical Corporation
• Lyric Khaliah Cardiel
• Jennifer Lyn Cardillo, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.