Individual provider Active NPI

Erika Miramontes, MA, BCBA

  • Behavior Analyst
  • Murrieta, CA
National Provider Identifier
1154775286
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA1-16-21716 Issued in CA
Practice address
38975 Sky Canyon Dr
Suite 103
Murrieta, CA 92563-2675
Phone
(760) 634-1125
Fax
(760) 634-1530
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BCBA1-16-21716 CA Primary

Addresses

Primary practice location

38975 Sky Canyon Dr
Suite 103
Murrieta, CA 92563-2675

Mailing address

721 N Vulcan Ave
Suite 208
Encinitas, CA 92024-2190
Phone (760) 634-1125

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

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1154775286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N VULCAN AVE",
            "address_2": "SUITE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242190",
            "telephone_number": "760-634-1125",
            "fax_number": "760-634-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38975 SKY CANYON DR",
            "address_2": "SUITE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632675",
            "telephone_number": "760-634-1125",
            "fax_number": "760-634-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "ERIKA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA1-16-21716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.