Individual provider Active NPI

Nina Francezca Calub Dollente

  • Behavior Analyst
  • San Bernardino, CA
National Provider Identifier
1942727284
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1905 Business Center Dr Unit 100
San Bernardino, CA 92408-3460
Phone
(909) 289-1041
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

1905 Business Center Dr Unit 100
San Bernardino, CA 92408-3460

Mailing address

17161 Gray Pine PL
San Bernardino, CA 92407-1504
Phone (909) 684-2987

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
Beacon Behavior Consultants Behavior Analyst CurrentSince Apr 23, 2023 Accepting new patients
Let's Learn Inc Behavior Analyst Past Accepting new patients
Institute for Behavioral Health Behavior Analyst Past Accepting new patients

Locations

237 N Riverside Ave
Rialto, CA 92376
Phone (877) 323-4283

Organizations & group practices 3

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1942727284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17161 GRAY PINE PL",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071504",
            "telephone_number": "909-684-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BUSINESS CENTER DR UNIT 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083460",
            "telephone_number": "909-289-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLENTE",
        "first_name": "NINA FRANCEZCA",
        "middle_name": "CALUB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.