IndividualActive
Matilita Raddock-Fong
NPI 1639853203 · Behavior Technician · Gardena, CA
Matilita Raddock-Fong is a Behavior Technician provider in Gardena, CA (NPI 1639853203).
Provider details
- NPI number
- 1639853203
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Phone: (310) 856-0800
Fax: (855) 568-2494
Street-level locationGet directions
Mailing address
1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Registry dates
- Enumerated
- 2023-06-13
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Frequently asked questions
- What is Matilita Raddock-Fong's NPI number?
- Matilita Raddock-Fong's National Provider Identifier (NPI) is 1639853203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matilita Raddock-Fong's specialty?
- Matilita Raddock-Fong is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Matilita Raddock-Fong located?
- Matilita Raddock-Fong's practice location on file with NPPES is 1149 W 190th St Ste 2200, Gardena, CA 90248-4344.
- What is Matilita Raddock-Fong's phone number?
- The practice phone number listed in the NPPES registry for Matilita Raddock-Fong is (310) 856-0800.
- Is Matilita Raddock-Fong's NPI active?
- Yes — Matilita Raddock-Fong's NPI (1639853203) is active in the NPPES registry as of the last update on 2023-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.