Individual provider Active NPI

Jose Emilio Rangel-Morales

  • Behavior Technician
  • Rancho Cucamonga, CA
National Provider Identifier
1912783309
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9333 Base Line Rd
Rancho Cucamonga, CA 91730-1350
Phone
(909) 755-5220
NPI assigned
Sep 1, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary
Assistant Behavior Analyst 106E00000X 21-153722 CA

Addresses

Primary practice location

9333 Base Line Rd
Rancho Cucamonga, CA 91730-1350

Mailing address

6800 Fairchild St
Fontana, CA 92336-4182
Phone (818) 581-1180

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

State licenses

LicenseStateTypeSpecialty
21-153722CAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Key Essentials to Behavior Management, Corp Single Specialty PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1912783309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 FAIRCHILD ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364182",
            "telephone_number": "818-581-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 BASE LINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301350",
            "telephone_number": "909-755-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL-MORALES",
        "first_name": "JOSE",
        "middle_name": "EMILIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "21-153722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.