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Deactivated NPI 1114429735 Deactivated / Inactive NPI Female Practitioner

Mitzy Romero

Behavior Technician • Fremont, 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, Mitzy Romero has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2018
NPI Deactivation Date July 17, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Mitzy Romero was a registered Behavior Technician practicing in Fremont, CA. Throughout an active medical career spanning 6 years, Mitzy Romero provided care at the practice location at 39420 LIBERTY ST STE 150 until profile deactivation on 2024-07-17.

Practice Location & Contact Primary Location

Practice Address

39420 Liberty St Ste 150

Fremont, CA 945382284

Telephone 5107945155
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1048 Specialists

Practicing in Fremont, 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

40 Associated Practitioners
Payton Guthrie , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003420670

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Jenny Nguyen

Behavior Technician

NPI 1003461930
May Derry , SLP

Speech-Language Pathologist

NPI 1003493099

Speech-Language Pathologist

Nicolett Vargas

Behavior Technician

NPI 1013419613
Hanifa Dolan

Behavior Technician

NPI 1013487859
Desiree Cervantes

Behavior Technician

NPI 1013572254

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated July 17, 2024

Record deactivated on July 17, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2024

Behavior Technician

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Updated Practice Location September 07, 2021

Registered at 1171 HOMESTEAD RD STE 250, SANTA CLARA, CA 950505485 (Tel: 4083202590)

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Updated Business Mailing Address September 07, 2021

Registered at 1171 HOMESTEAD RD STE 250, SANTA CLARA, CA 950505485 (Tel: 4083202590)

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2021

Behavior Analyst (License #1-21-51548 in CA)

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Updated Practice Location October 19, 2018

Registered at 6600 W CHARLESTON BLVD STE 132, LAS VEGAS, NV 89146 (Tel: 7022836215)

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Updated Business Mailing Address October 19, 2018

Registered at 6600 W CHARLESTON BLVD STE 132, LAS VEGAS, NV 891461067 (Tel: 7022836215)

NPI Profile Active February 28, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 28, 2018

Registered at 39420 LIBERTY ST STE 150, FREMONT, CA 945382284 (Tel: 5107945155)

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Updated Business Mailing Address February 28, 2018

Registered at 39420 LIBERTY ST STE 150, FREMONT, CA 945382284 (Tel: 5107945155)

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Provider Name / Credentials Updated February 28, 2018

Recorded as MITZY ROMERO

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2018

Behavior Technician

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Initial NPI Registration & Enumeration February 28, 2018

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: 1114429735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2018
Last Update: February 28, 2018
Deactivation Date: July 17, 2024

Mailing Address

39420 Liberty St Ste 150

Fremont, CA 945382284

Phone: 5107945155

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.