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Building a Generation
NPI 1770803546 · Early Intervention Provider Agency · Mentone, CA
Provider details
- NPI number
- 1770803546
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Melinda Corral, Executive Director(909) 793-8822
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1320 Crafton Ave
Mentone, CA 92359-1318
Phone: (909) 794-7753
Fax: (909) 793-8823
Street-level locationGet directions
Mailing address
129 E Vine St
Redlands, CA 92373-4759
Registry dates
- Enumerated
- 2010-06-03
- Last updated
- 2010-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.