Active NPI
Alicia Pacheco
- Behavior Technician
- Murrieta, CA
National Provider Identifier
1023689320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 26794 Evergreen Ave
Murrieta, CA 92563-4048 - Phone
- (909) 906-1505
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
26794 Evergreen Ave
Murrieta, CA 92563-4048
Mailing address
9377 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5340
Phone (909) 906-1505
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregor Medical Corporation | Current | Accepting new patients | |
| LCS Behavioral Health, Inc | Past | Accepting new patients |
Locations
9377 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 906-1505
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.
-
- Multi-Specialty Clinic/Center
- Rancho Cucamonga, CA
- NPI 1275274003
-
- Behavior Analyst
- Rancho Cucamonga, CA
- NPI 1861885600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1023689320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9377 HAVEN AVE STE 100",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305340",
"telephone_number": "909-906-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26794 EVERGREEN AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925634048",
"telephone_number": "909-906-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.