Laura Lilly Faherty, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-111559 Issued in CA

Practice address

2404 F St
San Diego, CA 92102-2025

Phone

(619) 493-0077

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Golden View Learning Center, LLC

  • Behavior Analyst
  • San Diego, CA
  • NPI 1265992176

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1205467651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 F ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022025",
            "telephone_number": "619-493-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 F ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022025",
            "telephone_number": "619-493-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4547 Olney St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093612",
            "country_code": "US",
            "telephone_number": "858-945-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLY FAHERTY",
        "first_name": "LAURA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-20-111559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Mathilda Liljenstrand, PH.D.
• Michelle Irene Truax Lillejord
• Jessica Lilley, MD
• Richard Matthew Lilley
• Dustin Michael Lillie, M.D.
• Abigail Lilly
• Elizabeth Anne Lilly, OTR/L
• Mary L Lilly, PHD RN MS MSN
• Lilos Tender Senior Care Inc
• Joyce Beth Lilya, LCSW

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.