Active NPI
Luis Daniel Mendez, M.A., BCBA
- Behavior Analyst
- Long Beach, CA
National Provider Identifier
1083138333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-9400
- Practice address
- 3472 Tulane Ave
Long Beach, CA 90808-2654 - Phone
- (310) 529-0301
- NPI assigned
- Jul 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-9400 | CA | Primary |
Addresses
Primary practice location
3472 Tulane Ave
Long Beach, CA 90808-2654
Mailing address
11241 Martha Ann Dr
Los Alamitos, CA 90720-2917
Phone (562) 881-1023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760911184 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Partners for Success, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Long Beach, CA
- NPI 1760911184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1083138333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11241 MARTHA ANN DR",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202917",
"telephone_number": "562-881-1023",
"fax_number": "562-429-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3472 TULANE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082654",
"telephone_number": "310-529-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "LUIS",
"middle_name": "DANIEL",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-11-9400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760911184",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.