EBONY ANDREA CUSTODIO
NPI 1679398291
Behavior Technician in San Diego, CA
NPI Status: Active since November 19, 2024
Contact Information
3655 RUFFIN RD STE 100
SAN DIEGO, CA
ZIP 92123
Phone: (951) 813-4034
- Individual
- Female
- Behavior Technician
About EBONY CUSTODIO
This page provides the complete NPI Profile along with additional information for Ebony Custodio, a provider established in San Diego, California with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1679398291 assigned on November 2024. The practitioner's primary taxonomy code is 106S00000X with license number 106S00000X (CA). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1679398291
- Provider Name
- EBONY ANDREA CUSTODIO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123
- Location Phone
- (951) 813-4034
- Mailing Address
- 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123
- Mailing Phone
- (951) 813-4034
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-19-2024
- Last Update Date
- 11-21-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Technician
- Taxonomy Code
- 106S00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 106S00000X
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for EBONY ANDREA CUSTODIO
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 3 | 9 | 8 | 2 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 6 | 9 | 16 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 6 + 9 + 1 + 6 + 2 + 1 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1679398291 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275297921 | THAO NGUYEN Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1750791307 | KOENRAAD VAN BRAECKEL PHD Individual | Psychologist (Clinical) | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 528-2153 |
| 1265199160 | HANA GROOS Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1508522277 | LEWIS SOLOMON Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1023777000 | HELEN NOEL BARRIOS Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1073272175 | JANEE WILLIAMS Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1235898156 | NATALIE ROSE OCONNOR Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1770235400 | GABRIELLA BURANZON Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1851043889 | AMANDA BORDAGARAY Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1629722004 | TAINA MOYNIHAN Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1245987569 | JACOB IRA FELDMAN Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1891443743 | COURTNEY NIKOLE RIVERA Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1942950241 | DARIANA ARLEYNE GONZALEZ RODRIGUEZ Individual | Behavior Analyst | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1962151019 | GENEVIEVE MARIE HOOK Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1598497554 | ABIGAIL WEST ATWOOD Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1639897366 | SHAIRA CRUZ Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1396467338 | JOELLE MENDEZ Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1518689447 | ISAIAH AVILA Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1700501616 | BRITTNEY MARGOTH MEDINA Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1326755588 | KELSEY TAKAMORI RBT Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679398291, enumerated in the NPI registry as an "individual" on November 19, 2024
The provider is located at 3655 Ruffin Rd Ste 100 San Diego, Ca 92123 and the phone number is (951) 813-4034
The provider's speciality is Behavior Technician with taxonomy code 106S00000X
This NPI record was last updated on November 19, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.