Rocky Ronald Jack Carvalho Jr., RBT-19-109008

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1220 Concord Ave Ste 101
Concord, CA 94520-4906

Phone

(916) 308-3660

NPI assigned

Aug 26, 2019

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montessori Autism Programs & Services, Inc.

  • Community/Behavioral Health Agency
  • El Dorado Hills, CA
  • NPI 1700265824
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1912554767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CONCORD AVE STE 101",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CONCORD AVE STE 101",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204906",
            "telephone_number": "916-308-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Windfield Way Ste 1",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957629360",
            "country_code": "US",
            "telephone_number": "916-357-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "ROCKY",
        "middle_name": "RONALD JACK",
        "name_suffix": "Jr.",
        "credential": "RBT-19-109008",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Carter
• Michelle Claudette Carter, PA-C
• Nicole Carter
• Jacqueline Carvajal
• Jasmine Celeste Carvajal
• Casa Serena Eating Disorders Program (Jacquelyn L Holmes)
• Casa Serena Eating Disorders Program San Francisco (Jacquelyn L Holmes)
• Corissa Casarez, CMT
• Joselynn Arlene Case
• Kimberly Ronquillo Caselin

• Behavior Technician in Concord, CA
• Providers in Concord, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.