Iriss Edith Licona

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

F4381540 Issued in CA

Practice address

4643 Terrace Ave
Oxnard, CA 93033-7326

Phone

(805) 397-0257

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1437055373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 TERRACE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930337326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 TERRACE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930337326",
            "telephone_number": "805-397-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICONA",
        "first_name": "IRISS",
        "middle_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F4381540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Leyva
• Henry K Liao
• Mary M Liao, O.D.
• Shang Chien Liao, M.D.
• Yucheng Jordan Liao, MD PHD
• Lifelink Pediatric Therapy
• Lifetime Dental Care
• Lifetime Dental Care
• Lilia Fernandez Coppa, MD, Inc.
• Courtney Meredith Lillich, P.T. D.P.T.

• Behavior Technician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.