Active NPI
Annette Meza, BCBA
- Behavior Analyst
- Monrovia, CA
National Provider Identifier
1285181461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12153253
- Practice address
- 612 S Myrtle Ave # 100
Monrovia, CA 91016-3406 - Phone
- (626) 775-7888
- NPI assigned
- Sep 6, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Behavior Analyst | 103K00000X | 12153253 | CA | Primary |
Addresses
Primary practice location
612 S Myrtle Ave # 100
Monrovia, CA 91016-3406
Mailing address
11244 Hyattsville St
Adelanto, CA 92301-6134
Phone (909) 782-9026
Other practice location 1
15972 Tuscola Rd
Apple Valley, CA 92307-1431
Phone (760) 242-3353
Other practice location 2
1200 Concord Ave Ste 100
Concord, CA 94520-4969
Phone (510) 268-8120
Other practice location 3
15095 Amargosa Rd
208
Victorville, CA 92394-1879
Phone (760) 245-4695
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 |
|---|---|---|---|
| 12153253 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1285181461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11244 HYATTSVILLE ST",
"city": "ADELANTO",
"state": "CA",
"postal_code": "923016134",
"telephone_number": "909-782-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S MYRTLE AVE # 100",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163406",
"telephone_number": "626-775-7888"
}
],
"practiceLocations": [
{
"address_1": "15972 Tuscola Rd",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923071431",
"country_code": "US",
"telephone_number": "760-242-3353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Concord Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945204969",
"country_code": "US",
"telephone_number": "510-268-8120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15095 Amargosa Rd",
"address_2": "208",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "923941879",
"country_code": "US",
"telephone_number": "760-245-4695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEZA",
"first_name": "ANNETTE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2024-04-25",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12153253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.