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

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": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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.

• All providers in Clovis, CA
• 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.