Individual provider Active NPI

Mayra Chaidez

  • Behavior Analyst
  • Rancho Cucamonga, CA
National Provider Identifier
1922899673
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6649 Amethyst Ave Unit 9321
Rancho Cucamonga, CA 91701-1557
Phone
(909) 579-2524
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 Primary

Addresses

Primary practice location

6649 Amethyst Ave Unit 9321
Rancho Cucamonga, CA 91701-1557

Mailing address

17333 Valley Blvd SPC 71E
Fontana, CA 92335-6875
Phone (951) 543-3271

Other practice location 1

6649 Amethyst Ave Unit 9321
Rancho Cucamonga, CA 91701-1557
Phone (909) 579-2524

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
Ascent ABA Behavior Analyst CurrentSince May 18, 2025 Accepting new patients

Locations

6649 Amethyst Ave
Unit 9321
Rancho Cucamonga, CA 91701
Phone (833) 396-3323

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1922899673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 VALLEY BLVD SPC 71E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356875",
            "telephone_number": "951-543-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 AMETHYST AVE UNIT 9321",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917011557",
            "telephone_number": "909-579-2524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6649 Amethyst Ave Unit 9321",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917011557",
            "country_code": "US",
            "telephone_number": "909-579-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIDEZ",
        "first_name": "MAYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 13, 2025; 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.