Daniel Anthony Licona

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

90 W Ashlan Ave Ste 100
Clovis, CA 93612-5627

Phone

(559) 420-5137

NPI assigned

Sep 6, 2024

Last updated

Jun 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1033944277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD STE 1160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W ASHLAN AVE STE 100",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936125627",
            "telephone_number": "559-420-5137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11150 W Olympic Blvd Ste 1160",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900641826",
            "country_code": "US",
            "telephone_number": "510-397-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICONA",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Martin Lewis, M.A., CCC-SLP
• Tyiesha Moha Lewis
• Perla Leyva
• Eric Chen Li, M.D.
• Li Li, M.D.
• Marietta Formoso Light, NP-C
• Andrew J Lilles, PT, DPT
• Joyce Lin
• Li T. Lin
• Rose Marie Ann Lindbeck, R. N.

• Day Training/Habilitation Specialist in Clovis, CA
• Providers in Clovis, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.