Active NPI
Selena Lauria
- Behavior Technician
- Pasadena, CA
National Provider Identifier
1336867126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-217208
- Practice address
- 225 S Lake Ave Ste 300
Pasadena, CA 91101-3009 - Phone
- (626) 432-7270
- NPI assigned
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | RBT-22-217208 | FL | Primary |
Addresses
Primary practice location
225 S Lake Ave Ste 300
Pasadena, CA 91101-3009
Mailing address
1952 N Beachwood Dr Apt 202
Los Angeles, CA 90068-4007
Phone (203) 247-3695
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.brightviewbehavior.com/ | Direct | BrightView Behavioral Health Center |
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 |
|---|---|---|---|
| RBT-22-217208 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1336867126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 N BEACHWOOD DR APT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900684007",
"telephone_number": "203-247-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S LAKE AVE STE 300",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013009",
"telephone_number": "626-432-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIA",
"first_name": "SELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-217208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.brightviewbehavior.com/",
"affiliation": "Y",
"endpointDescription": "Organization Website",
"affiliationName": "BrightView Behavioral Health Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "225 S Lake Ave Ste 300",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911013009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.