Cortica

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

CORTICA

Practice address

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726

Phone

(805) 413-3009

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Genisanne De Ocampo Doregios6NPI 1114762754

Title

Registered Behavior Technician

Phone

(805) 413-3009

Specialties & licenses 1

Addresses

Practitioners 2

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

• Genisanne De Ocampo Doregios

  • Behavior Technician
  • Westlake Village, CA
  • NPI 1114762754
  NPD Authorized official
• Kimberly M Persaud, DBA,MS

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1053078444
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1346094307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LOMBARD ST # 26086",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930302271",
            "telephone_number": "805-612-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615726",
            "telephone_number": "805-413-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "DOREGIOS6",
        "authorized_official_first_name": "GENISANNE",
        "authorized_official_middle_name": "DE OCAMPO",
        "authorized_official_title_or_position": "REGISTERED BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "805-413-3009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria de la Luz Cordova Gama, BA
• Corey Hirsch, Licensed Clinical Social Worker, Professional Corpora
• Nicole M Corey, L.M.F.T.
• Heather Apollonia Cornett, MD
• Marichu Quizon Cortes, RN
• Theodore R Corwin, M.D.
• Teresa Anne Cosenza, DPT
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Behavior Technician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.