Active NPI
Allison Kay Clevinger, MA
- Behavior Analyst
- Corona, CA
National Provider Identifier
1922569169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-45226
- Practice address
- 1101 California Ave Ste 212
Corona, CA 92881-6472 - Phone
- (951) 523-0221
- NPI assigned
- Mar 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-45226 | CA | Primary |
Addresses
Primary practice location
1101 California Ave Ste 212
Corona, CA 92881-6472
Mailing address
8606 E Whitewater Dr Apt 116
Anaheim, CA 92808-1268
Phone (714) 585-1209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-20-45226 | Other | CA | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Spectrum Consultants Inc | Past | Accepting new patients | |
| Autism Spectrum Consultants | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmentally Disabled Services Day Training Agency
- Irvine, CA
- NPI 1306167994
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1265660476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1922569169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8606 E WHITEWATER DR APT 116",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081268",
"telephone_number": "714-585-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CALIFORNIA AVE STE 212",
"city": "CORONA",
"state": "CA",
"postal_code": "928816472",
"telephone_number": "951-523-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVINGER",
"first_name": "ALLISON",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-20-45226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-20-45226",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.