Individual provider Active NPI

Brenda Ayala-Castillo, BA, RBT

  • Behavior Technician
  • Imperial, CA
National Provider Identifier
1992451934
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-134785 Issued in CA
Practice address
502 W Aten Rd Ste 105
Imperial, CA 92251-9423
Phone
(760) 592-0088
Fax
(760) 370-9236
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-134785 CA Primary

Addresses

Primary practice location

502 W Aten Rd Ste 105
Imperial, CA 92251-9423

Mailing address

2402 Mia Ave
Imperial, CA 92251-8872
Phone (619) 816-6260

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brendaayala@fredfinch.org Direct Fred Finch Youth Center Cares

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-20-134785CAMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: brendaayala@fredfinch.org

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1992451934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 MIA AVE",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518872",
            "telephone_number": "619-816-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W ATEN RD STE 105",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519423",
            "telephone_number": "760-592-0088",
            "fax_number": "760-370-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-CASTILLO",
        "first_name": "BRENDA",
        "credential": "BA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-20-134785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brendaayala@fredfinch.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Fred Finch Youth Center Cares",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "502 W Aten Rd Ste 105",
            "city": "Imperial",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922519423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.