Active NPI
Alijha Campos
- Behavior Technician
- Victorville, CA
National Provider Identifier
1184362485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 15490 Civic Dr Ste 103
Victorville, CA 92392-2382 - Phone
- (442) 484-6572
- NPI assigned
- May 25, 2022
- Sex
- Female
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
15490 Civic Dr Ste 103
Victorville, CA 92392-2382
Mailing address
15490 Civic Dr Ste 103
Victorville, CA 92392-2382
Phone (442) 484-6572
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JFHS LLC | Current | Accepting new patients |
Locations
15490 Civic Dr
Ste 103
Victorville, CA 92392
Phone (442) 261-1745
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1184362485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15490 CIVIC DR STE 103",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922382",
"telephone_number": "442-484-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15490 CIVIC DR STE 103",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922382",
"telephone_number": "442-484-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "ALIJHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.