CAROLYN MOZELLE HEREDIA
NPI 1043987662
Behavior Technician in Garden Grove, CA

Active since August 23, 2021
12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(855) 223-7123(619) 374-7134 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Mozelle Heredia NPPES

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

CAROLYN MOZELLE HEREDIA (NPI 1043987662) is an individual behavior technician in Garden Grove, California and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1043987662
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameCAROLYN MOZELLE HEREDIA
Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (619) 374-7134
Fax(619) 374-7134
Sole ProprietorNo
Enumeration DateAugust 23, 2021
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1043987662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
12465 LEWIS ST STE 102, Garden Grove, CA 92840

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.

Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840

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 Carolyn Heredia's NPI number?

The NPI number for Carolyn Heredia is 1043987662. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Carolyn Heredia located?

Carolyn Heredia practices at 12465 Lewis St Ste 102, Garden Grove, CA 92840. The listed phone number is (855) 223-7123.

What is Carolyn Heredia's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Heredia was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.