Victor Amezcua
Individual provider Active NPI Behavior Technician · Camarillo, CA
NPI 1558092387 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1558092387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1305 Del Norte Rd
Camarillo, CA 93010-8436 - Phone
- (805) 654-9814
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cosmic Care ABA | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1305 Del Norte Rd
Camarillo, CA 93010-8436
Mailing address
1305 Del Norte Rd
Camarillo, CA 93010-8436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F7368502 | Other | CA | DRIVER LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vamezcua@sageservices.org | Direct |
Other providers in Camarillo, CA
- American Current Care of California, a Medical Corporation
- American Medical Ride System
- American Prosthetics LLC
- Teresa Marie Amescua-Smith
- Misty Marie Amezcua
- Amrita Kaur Kataria
- Jordan Andrew Amstutz
- Dean Kenton Amundsen
- Anacapa Ambulatory Surgical Center
- Anagha Suresh MD Corporation
All providers in Camarillo, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.