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Fred Clancy Enoh Agbor

Behavior Technician β€’ Orange, CA

Active NPI 1245929041 Individual Practitioner Male Practitioner
Practice location in NPPES

500 S Main St
Orange, CA 928684507

Call 6575653259 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 S Main St

Orange, CA 928684507

Telephone 6575653259
Fax 8337064826
Organization at the Same NPPES Address or Phone
Nephrology Consultants Medical Office Inc Facility NPI 1790962900

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Orange and California

4,271 active clinicians are listed under Behavior Technician with a practice address in Orange, CA (171,692 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orange

0% of these 4,271 clinicians have the CMS telehealth indicator.

0% of these 4,271 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-31
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES CA Y6808749

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1598734832

Doctor of Medicine (M.D.)

Dr. Payal Mittal , MD

Internal Medicine - Nephrology

NPI 1306022678

Doctor of Medicine (M.D.)

Dr. Kevin Pham , MD

Internal Medicine - Nephrology

NPI 1477623635

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 31, 2025

Registered at 500 S MAIN ST, ORANGE, CA 928684507 (Tel: 6575653259)

πŸ“
Updated Business Mailing Address July 31, 2025

Registered at 308 NOVEL # A, IRVINE, CA 926181793 (Tel: 9492410023)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Behavior Technician (license number reported to NPPES: CA Y6808749)

βœ…
NPI Profile Active May 05, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2023

Registered at 1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 928685056 (Tel: 7146962862)

πŸ“
Business Mailing Address (Initial Record) May 05, 2023

Registered at 1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 928685056 (Tel: 7146962862)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2023

Recorded as FRED AGBOR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Behavior Technician

🟒
Initial NPI Registration & Enumeration May 05, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245929041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2023
Last Update: July 31, 2025
Sole Proprietor: No

Mailing Address

308 Novel # A

Irvine, CA 926181793

Phone: 9492410023

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.