Active NPI
Leslie Gomez Mendoza
- Behavior Technician
- Santa Clarita, CA
National Provider Identifier
1184432452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538 - Phone
- (661) 702-0166
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 106S00000X | CA | Primary |
Addresses
Primary practice location
23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538
Mailing address
23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538
Phone (661) 702-0166
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1184432452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23502 LYONS AVE STE 304A",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212538",
"telephone_number": "661-702-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23502 LYONS AVE STE 304A",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212538",
"telephone_number": "661-702-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ MENDOZA",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "106S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.