Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013689496 Individual Practitioner Female Practitioner

Carolina A Cordova , BCBA

Behavior Analyst • Sacramento, CA

Professional Overview & Biography Verified Profile Summary

Carolina Cordova, BCBA is a registered healthcare professional specializing in Behavior Analyst in Sacramento, CA. Practice services are available at 1300 ETHAN WAY STE 175 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 Ethan Way Ste 175

Sacramento, CA 958252277

Telephone 8665234268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Sacramento, CA

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

Practicing in Sacramento, 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: 2023-05-15
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-21-53332

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.

Behavior Analyst

NUCC Taxonomy Code: 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bay Aba
1497292965 (CA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003317033

Board Certified Behavior Analyst, Licensed Behavior Analyst

Briana Cerda

Behavior Technician

NPI 1003400904
Gregory Theodore

Behavior Technician

NPI 1003401555
Ada Ha

Behavior Analyst

NPI 1003404260
Shanthel Holliday

Behavior Technician

NPI 1003406893
Madison Crew

Behavior Technician

NPI 1003410804

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 15, 2023

Registered at 1300 ETHAN WAY STE 175, SACRAMENTO, CA 958252277 (Tel: 8665234268)

📍
Updated Business Mailing Address May 15, 2023

Registered at DEPT LA 22763, PASADENA, CA 911852763 (Tel: 8665234268)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Behavior Analyst

NPI Profile Active October 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2021

Registered at 1625 THE ALAMEDA STE 615, SAN JOSE, CA 951262224 (Tel: 6502324105)

📍
Updated Business Mailing Address October 04, 2021

Registered at 3130 LA SELVA ST STE 104, SAN MATEO, CA 944032190 (Tel: 6502324105)

👤
Provider Name / Credentials Updated October 04, 2021

Recorded as CAROLINA CORDOVA, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2021

Behavior Analyst (License #1-21-53332 in CA)

🟢
Initial NPI Registration & Enumeration October 04, 2021

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: 1013689496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2021
Last Update: May 15, 2023
Sole Proprietor: No

Mailing Address

Dept La 22763

Pasadena, CA 911852763

Phone: 8665234268

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.