Organization Active NPI

Leafwing Center

  • Behavior Technician
  • Orange, CA
National Provider Identifier
1306605779
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
LEAFWING CENTER
Practice address
2127 W Orangewood Ave Ste B
Orange, CA 92868-1978
Phone
(714) 634-8500
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Cassandra Gison
Title
Behavior Technician
Phone
(714) 634-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

2127 W Orangewood Ave Ste B
Orange, CA 92868-1978

Mailing address

2127 W Orangewood Ave Ste B
Orange, CA 92868-1978
Phone (714) 634-8500

National Provider Directory

National Provider Directory

Locations

2127 W Orangewood Ave
Ste B
Orange, CA 92868
Phone (714) 634-8500

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1306605779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681978",
            "telephone_number": "714-634-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681978",
            "telephone_number": "714-634-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAFWING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "GISON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "714-634-8500",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.