Astrid Yesebel La Cruz Montilla, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35443

Practice address

3431 Cherry Ave
Long Beach, CA 90807-4911

Phone

(855) 223-7123

NPI assigned

Apr 9, 2019

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 and National Provider Directory roles.

• Center for Pediatric Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
  • NPI 1871962415

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1376006189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE STE 11",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074911",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Saint James Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032937",
            "country_code": "US",
            "telephone_number": "910-660-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Saint James Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032937",
            "country_code": "US",
            "telephone_number": "910-660-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16410 Bloomfield Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "90703",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12604 Hiddencreek Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032137",
            "country_code": "US",
            "telephone_number": "562-760-4429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA CRUZ MONTILLA",
        "first_name": "ASTRID",
        "middle_name": "YESEBEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-35443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L.a. County Probation Dept.
• Melissa L'Heureux
• La Coast Pace, LLC
• La County DMH
• Qiana Rischaun La Croix
• La Drugs Inc
• La Good Samaritan Pathology Medical Group, Inc.
• La Hair Candy LLC
• Doreen Marie La Porte
• Jonathan James La Rosa, MSW, ASW

• Behavior Analyst in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.