Edna Lizeth Angeles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3111 Maguire Way Apt 206
Dublin, CA 94568-8641

Phone

(925) 895-4803

NPI assigned

Jul 28, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1528731270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MAGUIRE WAY APT 206",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688641",
            "telephone_number": "510-876-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 MAGUIRE WAY APT 206",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945688641",
            "telephone_number": "925-895-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "EDNA",
        "middle_name": "LIZETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "scheduling@brightlightbehaviorgroup.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3111 Maguire Way Apt 206",
            "city": "Dublin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945688641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• My'Unique Anderson
• Poppy Anderson, RD
• Jacob Andrade
• Spencer Andrews
• Vivian B Andrews, LMFT
• Amardeep Angroola, M.D.
• Callista Angulo
• Jocelyn Angulo
• Anka Behavioral Health, Inc.
• Marchelle Anonuevo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.