Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023672615 Individual Practitioner Female Practitioner

Maria Renee Provencio

Behavior Analyst • Anaheim, CA

Professional Overview & Biography Verified Profile Summary

Maria Provencio is a registered healthcare professional specializing in Behavior Analyst in Anaheim, CA. Practice services are available at 2400 E KATELLA AVE STE 800 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 E Katella Ave Ste 800

Anaheim, CA 928065955

Telephone 7148583590
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Anaheim, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
202 Specialists

Practicing in Anaheim, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jimmy Nguyen

Technician, Other

NPI 1003373341
Jennifer Appling

Technician, Other

NPI 1003464975
Amanda Ponce

Technician, Other

NPI 1013542620
Valeria Muniz

Technician, Other

NPI 1033675558
Kassandra Jimenez

Technician, Other

NPI 1033676184
Cheree Plett

Technician, Other

NPI 1033676309

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2023

Behavior Analyst (License #103K00000X in CA)

NPI Profile Active April 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2019

Registered at 2400 E KATELLA AVE STE 800, ANAHEIM, CA 928065955 (Tel: 7148583590)

📍
Updated Business Mailing Address April 29, 2019

Registered at 2400 E KATELLA AVE STE 800, ANAHEIM, CA 928065955 (Tel: 7148583590)

👤
Provider Name / Credentials Updated April 29, 2019

Recorded as MARIA PROVENCIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2019

Technician, Other

🟢
Initial NPI Registration & Enumeration April 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023672615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2019
Last Update: December 12, 2023
Sole Proprietor: No

Mailing Address

2400 E Katella Ave Ste 800

Anaheim, CA 928065955

Phone: 7148583590

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.