Kassandra Lajara, RBT-16-17940

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-16-17940 Issued in CA

Practice address

1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754

Phone

(805) 383-5566

Fax

(888) 659-0031

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kassandra Mangubat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Addison Behavioral Resources, Inc.

  • Behavior Analyst
  • Camarillo, CA
  • NPI 1114223765
  NPD
• California Sprout MC 1 LLC

  • Behavior Analyst
  • South San Francisco, CA
  • NPI 1902434178
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1033686969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 235",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100754",
            "telephone_number": "805-383-5566",
            "fax_number": "888-659-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 235",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100754",
            "telephone_number": "805-383-5566",
            "fax_number": "888-659-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJARA",
        "first_name": "KASSANDRA",
        "credential": "RBT-16-17940",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-16-17940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "MANGUBAT",
            "credential": "RBT-16-17940",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Laboch
• Sky Labonte
• Amy Diem Lai
• Cory Patrick Laidig
• Selena Lainez
• Matthew Christopher Lajoie
• Brenda Lake
• William Christopher Laliberte
• Heather Lam, BCABA
• Lambridis and Mar Dental Corporation

• Behavior Technician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.