Megan Vaccarezza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2150 S Country Club Dr Ste 38
Mesa, AZ 85210-6886

Phone

(619) 795-9925

Fax

(877) 602-5087

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mebe Arizona, LLC

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1255972899

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1306552955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081669",
            "telephone_number": "619-795-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 38",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106886",
            "telephone_number": "619-795-9925",
            "fax_number": "877-602-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCAREZZA",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usrc Southwest Mesa, LLC (U.S. Renal Care Southwest Mesa Dialysis)
• Usv Optical Inc.
• Usv Optical, Inc. (JC Penney Optical)
• Melchisedeck Uwumwami
• V2M Dental Care (Mesa Dental Home)
• Zoltan Vajo, MD
• Val Vista Chiropractic, LLC
• Abigayle Valadez
• Michael Daniel Valarezo Freire, DMD
• Anthony John Valazza, LCSW

• Behavior Technician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.