Individual provider Active NPI

Enida Arnautalic

  • Behavior Technician
  • La Palma, CA
National Provider Identifier
1396493045
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Phone
(800) 939-3410
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

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

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545

Mailing address

6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Phone (800) 939-3410

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1396493045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232545",
            "telephone_number": "800-939-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232545",
            "telephone_number": "800-939-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNAUTALIC",
        "first_name": "ENIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.