IndividualActive
Cassandra Bolanos
NPI 1417688565 · Behavior Technician · Newport Beach, CA
Cassandra Bolanos is a Behavior Technician provider in Newport Beach, CA (NPI 1417688565).
Provider details
- NPI number
- 1417688565
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1151 Dove St
Newport Beach, CA 92660-2840
Phone: (949) 630-8290
Street-level locationGet directions
Mailing address
1151 Dove St
Newport Beach, CA 92660-2840
Registry dates
- Enumerated
- 2022-06-20
- Last updated
- 2022-06-20
- Certified
- 2022-06-20
Frequently asked questions
- What is Cassandra Bolanos's NPI number?
- Cassandra Bolanos's National Provider Identifier (NPI) is 1417688565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cassandra Bolanos's specialty?
- Cassandra Bolanos is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Cassandra Bolanos located?
- Cassandra Bolanos's practice location on file with NPPES is 1151 Dove St, Newport Beach, CA 92660-2840.
- What is Cassandra Bolanos's phone number?
- The practice phone number listed in the NPPES registry for Cassandra Bolanos is (949) 630-8290.
- Is Cassandra Bolanos's NPI active?
- Yes — Cassandra Bolanos's NPI (1417688565) is active in the NPPES registry as of the last update on 2022-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.