Individual provider Active NPI

Evelyn Janira Delacruz-Lopez

  • Behavior Technician
  • Palm Desert, CA
National Provider Identifier
1467278010
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
77711 Flora Rd Ste 327
Palm Desert, CA 92211-4103
Phone
(626) 313-8421
NPI assigned
Nov 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

77711 Flora Rd Ste 327
Palm Desert, CA 92211-4103

Mailing address

11570 Hollyvale Ave
Victorville, CA 92392-9081
Phone (310) 954-7953

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

Practice roles

OrganizationSpecialtyStatusNew patients
Come Together ABA Services CurrentSince Dec 1, 2024 Accepting new patients

Locations

77711 Flora Rd
Ste 327
Palm Desert, CA 92211
Phone (626) 313-8421

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1467278010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11570 HOLLYVALE AVE",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929081",
            "telephone_number": "310-954-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77711 FLORA RD STE 327",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114103",
            "telephone_number": "626-313-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ-LOPEZ",
        "first_name": "EVELYN",
        "middle_name": "JANIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.