Active NPI
Lues Libredo
- Behavior Technician
- National City, CA
National Provider Identifier
1235019795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2423 Hoover Ave
National City, CA 91950-6619 - Phone
- (619) 795-9925
- NPI assigned
- Sep 5, 2025
- 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 | CA | Primary |
Addresses
Primary practice location
2423 Hoover Ave
National City, CA 91950-6619
Mailing address
4012 Via del Bardo
San Ysidro, CA 92173-1526
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1235019795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 VIA DEL BARDO",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921731526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 HOOVER AVE",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919506619",
"telephone_number": "619-795-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBREDO",
"first_name": "LUES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.