Active NPI
Nancy Carmona, RBT
- Behavior Technician
- Hanford, CA
National Provider Identifier
1962903260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-32214
- Practice address
- 325 Mall Dr
Hanford, CA 93230-5950 - Phone
- (888) 805-0759
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-17-32214 | CA | Primary |
Addresses
Primary practice location
325 Mall Dr
Hanford, CA 93230-5950
Mailing address
1414 W Vassar Ave Apt E
Visalia, CA 93277-4586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93875573D | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-32214 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1962903260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W VASSAR AVE APT E",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MALL DR",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305950",
"telephone_number": "888-805-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "NANCY",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-17-32214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93875573D",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.