Maxim Healthcare

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

MAXIM HEALTHCARE

Practice address

16510 Antelope St
Lake Elsinore, CA 92530-1769

Phone

(951) 409-4989

Fax

(907) 770-0862

NPI assigned

Sep 21, 2026

Organization subpart

No

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

Authorized official

Name

Rebecca Green

Title

BT

Phone

(951) 409-4989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1174435358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16510 ANTELOPE ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301769",
            "telephone_number": "951-409-4989",
            "fax_number": "907-770-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 ANTELOPE ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301769",
            "telephone_number": "951-409-4989",
            "fax_number": "907-770-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BT",
        "authorized_official_telephone_number": "951-409-4989"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Martinez
• La'Shanae Annette Mason
• Marsha Diane Mathews, M.F.T.
• Demestrice Sherise Mathis V, LVN
• Cesar Augusto Mavila, D.C.
• Brandy Shavon Mays-Cancino, LCSW
• Gail Ann MC Cabe, LCSW
• Steve McCain
• Tammy B McCamish-Hamen, MFT
• Kelly McCarroll, BS, MS, CF-SLP

• Behavior Technician in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.