Active NPI
Susan Liana Pillado, MA, BCBA
- Behavior Analyst
- Irvine, CA
National Provider Identifier
1285243998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12043045
- Practice address
- 1063 McGaw Ave
Irvine, CA 92614-5505 - Phone
- (714) 951-2919
- NPI assigned
- Jul 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12043045 | CA | Primary |
Addresses
Primary practice location
1063 McGaw Ave
Irvine, CA 92614-5505
Mailing address
28315 Pine Meadow Way
Yorba Linda, CA 92887-5824
Phone (714) 454-5883
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12043045 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1285243998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28315 PINE MEADOW WAY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928875824",
"telephone_number": "714-454-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 MCGAW AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145505",
"telephone_number": "714-951-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLADO",
"first_name": "SUSAN",
"middle_name": "LIANA",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12043045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.