Lonell Woodhouse, IS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

106 Mountain Dr
Pocatello, ID 83204-4723

Phone

(562) 731-9705

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1043970114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16732 CEDARWOOD CIR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032845",
            "telephone_number": "562-802-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MOUNTAIN DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044723",
            "telephone_number": "562-731-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "LONELL",
        "credential": "IS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pik Ching Wong, LPC
• Alexandrea Kay Wood
• Derek Wood
• Heidi Joy Wood, LCPC
• Alyssa M Woodbury, PA-C
• William Woodhouse, MD
• Richard Scott Woodland, PT, DPT
• Cindy Lynn Woodman
• Monique Woodson, LPC
• Jared Rex Wortham, DO

• Behavior Technician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Behavior Technician in Idaho

• 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.