Marvin Andres Alonzo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1050 Lakes Dr Ste 225
West Covina, CA 91790-2910

Phone

(626) 940-5180

NPI assigned

Dec 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1033879135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 CRUSADO LN # 317",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331514",
            "telephone_number": "323-914-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 225",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902910",
            "telephone_number": "626-940-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO",
        "first_name": "MARVIN",
        "middle_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "82-1922692",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pbxsteps.org",
            "affiliation": "N",
            "address_1": "1050 Lakes Dr Ste 225",
            "city": "West Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917902910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mayra Almanza, M.S.
• Meagan Almazan
• Almeria Hospice Inc
• Denisee Brenda Alonso, RD
• Leslis Monique Alonso
• Alpha Treatment Centers
• Alsa Home Health Care, Inc.
• Dijla Alsaigh
• Alta Behavioral and Wellness Medical Group Inc.
• Alta Cielo Medical Group Inc

• Behavior Analyst in West Covina, CA
• Providers in West Covina, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.