Anissia Angel Apodaca

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4952 Warner Ave Ste 300
Huntington Beach, CA 92649-5506

Phone

(714) 587-9007

NPI assigned

Dec 1, 2020

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

Practice roles

Locations

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.

• Center of Social Dynamics

  • Early Intervention Provider Agency
  • Huntington Beach, CA
  • NPI 1265038400
  NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1194320705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24321 RIMVIEW RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925573017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 WARNER AVE STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495506",
            "telephone_number": "714-587-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APODACA",
        "first_name": "ANISSIA",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Ngo, DMD Professional Corporation
• Oyebimpe Olawumi Anthony-Wise, PHARMD
• Michael Raymond Anthony, PSY.D.; QME
• Angela Antimie, NP
• Angelette Ann Aoki, NP
• Briana Apodaca
• Bruce David Appelbaum, M.D.
• Lara Apprich
• Nour Aqeel, PA
• Annette Aquino, TCH

• All providers in Huntington Beach, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.