Individual provider Active NPI

Mariana Alyssa Erdman, NONE

  • Behavior Technician
  • Temecula, CA
National Provider Identifier
1013655786
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Phone
(951) 466-3032
Fax
(855) 568-2494
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612

Mailing address

27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Phone (951) 466-3032

Other names 1

  • Miss Mariana A Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nufoundation Youth Development Mentors and Life Coach Services CurrentSince May 29, 2022 Accepting new patients
Behavior Frontiers, LLC PastSince May 29, 2022 Accepting new patients

Locations

27349 Jefferson Ave
Ste 204
Temecula, CA 92590
Phone (951) 466-3032

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1013655786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905612",
            "telephone_number": "951-466-3032",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905612",
            "telephone_number": "951-466-3032",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "MARIANA",
        "middle_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "NONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "HERNANDEZ",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.