Itzel Marchena

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-350292 Issued in CA

Practice address

4700 Spring St
La Mesa, CA 91942-0263

Phone

(619) 782-0700

NPI assigned

May 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• San Diego Applied Behavior Analysis , LLC

  • Behavior Analyst
  • La Mesa, CA
  • NPI 1598394223
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1124868914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 LA MESA BLVD STE 25",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420263",
            "telephone_number": "619-782-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHENA",
        "first_name": "ITZEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-24-350292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R. Mantell, PH.D.
• Manveen Bassi, M.D., Inc
• Francisco Luis Manzano, LMFT
• Rhea Manzo, PA
• Jennifer Maravola
• Marcial Felan, MFT a Psychology Corp.
• Maria Anguiano Marriage and Family Therapy Inc.
• Maria I. Frailey, PH.D., a Professional Corporation
• Linda Sippy Maria, P.T.
• Rami Maria, PHARMD

• Behavior Technician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.