Individual Developmental Education for Autism LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INDIVIDUAL DEVELOPMENTAL EDUCATION FOR AUTISM LLC

Practice address

29238 Branwin St
Murrieta, CA 92563-5878

Phone

(949) 241-0515

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica Lynn Lujano, BCBANPI 1417492927

Title

Owner

Phone

(949) 241-0515

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica Lujano

  • Behavior Analyst
  • Temecula, CA
  • NPI 1417492927
  NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1477284313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29238 BRANWIN ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635878",
            "telephone_number": "949-241-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29238 BRANWIN ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635878",
            "telephone_number": "949-241-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL DEVELOPMENTAL EDUCATION FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "LUJANO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-241-0515",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immediate Family Medical Care North
• Impact Family Counseling
• Isabella Imperati
• Indefree Association LLC (IndeFree Physical Therapy)
• Indefree Capital Corp (IndeFree PT)
• Infiniti Health
• Sellene Yanely Iniguez
• Inland Alliance Physicians
• Inland Empire Anesthesiology a Professional Medical Corporation
• Inland Empire Gastroenterology Medical Group, Inc.

• Behavior Analyst in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.