Mark Velasco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

13668 Kings Canyon CT
Fontana, CA 92336-3806

Phone

(626) 371-6635

Fax

(626) 371-6635

NPI assigned

Jun 8, 2018

Sex

Male

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

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1235622838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 KINGS CANYON CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363806",
            "telephone_number": "626-371-6635",
            "fax_number": "626-371-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 KINGS CANYON CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363806",
            "telephone_number": "626-371-6635",
            "fax_number": "626-371-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citlalli Vazquez Reyes
• Aldo Vazquez
• Berenice Esperanza Vazquez, FNP
• Daisy Vazquez
• Miguel Angel Velasco-Ceja, MSW; ACSW
• Ryan Velasco, RRT
• Zulema Zelene Velazquez, MA
• Ricardo David Velez-Hernandez
• Gilbert Veluz
• Edward Lee Vera, D.M.D.

• Behavior Technician in Fontana, CA
• Providers in Fontana, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.