Active NPI
Karina Licuime
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1407501901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11650 Iberia Place Suite 130, San Diego, Ca 92128
San Diego, CA 92128 - Phone
- (858) 264-5656
- NPI assigned
- Feb 14, 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
11650 Iberia Place Suite 130, San Diego, Ca 92128
San Diego, CA 92128
Mailing address
5970 Rancho Mission Rd
Apt 247
San Diego, CA 92108
Phone (619) 430-9922
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1407501901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5970 RANCHO MISSION RD",
"address_2": "APT 247",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-430-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 IBERIA PLACE SUITE 130, SAN DIEGO, CA 92128",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "858-264-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICUIME",
"first_name": "KARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.