Leticia Flores

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

391 Jenks Dr
Corona, CA 92880

Phone

(949) 922-5988

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Summit Behavior Services

  • Counselor
  • St George, UT
  • NPI 1891172094
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1124583299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 JENKS DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928802518",
            "telephone_number": "435-680-9236",
            "fax_number": "949-396-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 JENKS DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "949-922-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 N 400 E Ste A105",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847707192",
            "country_code": "US",
            "telephone_number": "435-275-8911",
            "fax_number": "435-200-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "LETICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Fletcher
• Richard Daniel Florendo, RNFA
• Anna Flores
• Janeth Flores
• Jazmin Flores
• Marina Flores
• Patricia Marie Flores
• Quiria Flores
• Sheryl Flores
• Silvia Pilar Flores, D.D.S

• Behavior Technician in Corona, CA
• Providers in Corona, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.