Cynthia June Conway, OTD, OTR/L, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19449 Issued in CA

Practice address

2665 Park Center Dr Ste D
Simi Valley, CA 93065-6200

Phone

(805) 416-3384

NPI assigned

Feb 10, 2009

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Connection Developmental Therapy Center

  • Pediatric Occupational Therapist
  • Simi Valley, CA
  • NPI 1366871808

  Pediatrics

  NPD Authorized official
• Kids Connections Developmental Therapy Center

  • Occupational Therapy Assistant
  • Simi Valley, CA
  • NPI 1730616400
  NPD (past) Authorized official

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1043459340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 PARK CENTER DR STE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656200",
            "telephone_number": "805-416-3384",
            "fax_number": "800-513-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 PARK CENTER DR STE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656200",
            "telephone_number": "805-416-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9518 9th St",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304585",
            "country_code": "US",
            "telephone_number": "909-443-9919",
            "fax_number": "800-513-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Zaca Ln",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017344",
            "country_code": "US",
            "telephone_number": "805-864-6641",
            "fax_number": "800-513-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CYNTHIA",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT9265",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT-9265",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-19449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consumerhealth, Inc. (Newport Dental - Simi Valley (ORTHO))
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• Adrianna Contreras
• Krista Nicole Contreras, CPT
• Raquel Cooper
• Cornerstone Healthcare Solutions Inc (Caremax Home Health)
• Mariana Fabiola Corrales
• Joseph Michael Cortez, DPM
• Ambar Maria Corugedo, LCSW

• Behavior Analyst in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.