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Deactivated NPI 1386369544 Deactivated / Inactive NPI Female Practitioner

Serena Vancuren

Behavior Technician • Costa Mesa, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Serena Vancuren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2022
NPI Deactivation Date April 24, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Serena Vancuren was a registered Behavior Technician practicing in Costa Mesa, CA. Throughout an active medical career spanning 3 years, Serena Vancuren provided care at the practice location at 3151 AIRWAY AVE until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

3151 Airway Ave

Costa Mesa, CA 926264607

Telephone 9494386660
Associated Practice Facility / Clinic
🏢 Robert R Johnson Medical Corp Facility NPI 1811180318

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Costa Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
915 Specialists

Practicing in Costa Mesa, CA (172337 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

32 Associated Practitioners
Vince Gaborno , CADC1

Counselor - Addiction (Substance Use Disorder)

NPI 1003744988
Amy Cusumano

Counselor - Addiction (Substance Use Disorder)

NPI 1013390848
Tiffani Milstead

Social Worker

NPI 1063895894
Yolanda Wynne

Community Based Residential Treatment Facility, Mental Illness

NPI 1073238077
Robin Giesen , MA

Marriage & Family Therapist

NPI 1134592249

Master of Arts

Jeffrey Allen

Community Based Residential Treatment Facility, Mental Illness

NPI 1225753205

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active October 10, 2022

NPI status registered as active in NPPES database

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Updated Practice Location October 10, 2022

Registered at 3151 AIRWAY AVE, COSTA MESA, CA 926264607 (Tel: 9494386660)

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Updated Business Mailing Address October 10, 2022

Registered at 2856 LA SALLE AVE APT 1, COSTA MESA, CA 926265725 (Tel: 5023307654)

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Provider Name / Credentials Updated October 10, 2022

Recorded as SERENA VANCUREN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Behavior Technician

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Initial NPI Registration & Enumeration October 10, 2022

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: 1386369544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2022
Last Update: October 10, 2022
Deactivation Date: April 24, 2025

Mailing Address

2856 La Salle Ave Apt 1

Costa Mesa, CA 926265725

Phone: 5023307654

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.