Falastina Faye Ihmud

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2601 Marber Ave
Long Beach, CA 90815-1137

Phone

(562) 377-1027

NPI assigned

Jun 2, 2023

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.

• Diversify BX LLC

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1578157236
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1386337491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 THUNDERHEAD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MARBER AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151137",
            "telephone_number": "562-377-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHMUD",
        "first_name": "FALASTINA",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Ignacio
• Krystle Ignacio
• Ijeoma C. Igwe, D.D.S.
• Amauchechi Chidozie Ihenacho
• Holly Ihle, PH.D.
• Edafe Lans Alex Ikpuri
• Kaeli Jordan Ilagan-Evangelista
• Anna Victoria Flores Ilagan, MD
• Jewel Illis
• Illuminate Psychotherapy, a Marriage & Family Therapy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.