Nadesha Adam

Individual provider Active NPI Behavior Technician · Torrance, CA

NPI 1053172197 · NPPES record last updated Jan 17, 2024

Key facts

NPI
1053172197
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
21515 Hawthorne Blvd Ste GL-100
Torrance, CA 90503-6501
Phone
(424) 571-2618
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica Healthcare Inc Past
since Jan 21, 2024
Accepting new patients
Cortica Behavioral Health Inc Past
since Jan 21, 2024
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

21515 Hawthorne Blvd Ste GL-100
Torrance, CA 90503-6501

Mailing address

21515 Hawthorne Blvd Ste GL-100
Torrance, CA 90503-6501

Other providers in Torrance, CA

All providers in Torrance, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.