IndividualActive
Fabian Banuelos
NPI 1427323328 · Clinical Social Worker · Kenai, AK
Provider details
- NPI number
- 1427323328
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
508 Upland St
Kenai, AK 99611-8026
Phone: (907) 335-7500
Street-level locationGet directions
Mailing address
15138 Carols Way Dr
Houston, TX 77070-1117
Additional practice locations (1)
- 9837 Naomi DrEl Paso, TX 79927-2832Phone: (915) 820-1080
Registry dates
- Enumerated
- 2012-03-12
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.