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Deactivated NPI 1245696046 Deactivated / Inactive NPI Female Practitioner

Audrey Venegas

Behavior Analyst • Ontario, 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, Audrey Venegas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2016
NPI Deactivation Date November 02, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Audrey Venegas was a registered Behavior Analyst practicing in Ontario, CA. Throughout an active medical career spanning 2 years, Audrey Venegas provided care at the practice location at 800 FERRARI until profile deactivation on 2018-11-02.

Practice Location & Contact Primary Location

Practice Address

800 Ferrari
Suite 100

Ontario, CA 917645030

Telephone 9094842848
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ontario, CA

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

Practicing in Ontario, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-15-21252

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
Lisa Dimercurio , RBT

Behavior Technician

NPI 1003353681

Registered Behavior Technician

Keyonna Boyce

Behavior Technician

NPI 1003472903
Michael Leon

Behavior Technician

NPI 1023525813
Nadia Janini

Behavior Technician

NPI 1033613674
Audrena Hernandez

Behavior Technician

NPI 1033983069
Holly-Hien Dinh

Behavior Technician

NPI 1043029267

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 02, 2018

Record deactivated on November 02, 2018

NPI Profile Active January 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location January 08, 2016

Registered at 800 FERRARI, SUITE 100, ONTARIO, CA 917645030 (Tel: 9094842848)

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Updated Business Mailing Address January 08, 2016

Registered at 4540 HARLIN DR, SACRAMENTO, CA 958269716

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Provider Name / Credentials Updated January 08, 2016

Recorded as AUDREY VENEGAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2016

Behavior Analyst (License #1-15-21252 in CA)

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Initial NPI Registration & Enumeration January 08, 2016

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: 1245696046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2016
Last Update: January 08, 2016
Deactivation Date: November 02, 2018

Mailing Address

4540 Harlin Dr

Sacramento, CA 958269716

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.