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MARIA RENEE PROVENCIO
NPI 1023672615
Behavior Analyst in Anaheim, CA

Active since April 29, 2019
2400 E KATELLA AVE STE 800, ANAHEIM, CA 92806(714) 858-3590 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Apr 29, 2019 (2 updates tracked since 2019).

About Maria Renee Provencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA RENEE PROVENCIO (NPI 1023672615) is an individual behavior analyst provider in Anaheim, California, licensed in California (103K00000X) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1023672615
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARIA RENEE PROVENCIO
Location Address2400 E KATELLA AVE STE 800Anaheim, CA 92806-5955
Mailing Address2400 E Katella Ave Ste 800Anaheim, CA 92806-5955 · (714) 858-3590
Phone(714) 858-3590
Sole ProprietorNo
Enumeration DateApril 29, 2019
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1023672615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 103K00000X
Definition
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.
2400 E KATELLA AVE STE 800, Anaheim, CA 92806
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMY NGUYEN
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
JENNIFER APPLING
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
AMANDA PONCE
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
KIMBERLY GARCIA
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 696-2862
VALERIA MUNIZ
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
KASSANDRA JIMENEZ
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
CHEREE PLETT
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590
DERIK VIEYRA
Technician, Other
2400 E KATELLA AVE STE 800
ANAHEIM, CA 92806
Orange County (714) 858-3590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Provencio's NPI number?

The NPI number for Maria Provencio is 1023672615. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Maria Provencio located?

Maria Provencio practices at 2400 E Katella Ave Ste 800, Anaheim, CA 92806. The listed phone number is (714) 858-3590.

What is Maria Provencio's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Maria Provencio was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.