Cynthia Lizet Fajardo, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13212 Issued in CA

Practice address

5022 W Point Loma Blvd
San Diego, CA 92107-1313

Phone

(619) 780-8215

Fax

(619) 758-9589

NPI assigned

Oct 30, 2007

Last updated

Apr 13, 2022By 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pioneer Learning Center

  • Behavior Analyst
  • San Diego, CA
  • NPI 1134862683
  NPD Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1558540138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 EMERALD ST APT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093563",
            "telephone_number": "619-459-7468",
            "fax_number": "619-758-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071313",
            "telephone_number": "619-780-8215",
            "fax_number": "619-758-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1948 Emerald St Apt 6",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093563",
            "country_code": "US",
            "telephone_number": "619-459-7468",
            "fax_number": "619-758-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "CYNTHIA",
        "middle_name": "LIZET",
        "name_prefix": "Miss",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abida Faiz
• Angela Fajardo
• Athena Fajardo
• Aurora Fajardo
• Brandy D. Fajardo, SUDRC
• Monica Fajardo
• Shayenne Jordan Ayala Fajardo, RN
• Renajda Fajic
• Jason Stuart Faker, M.A.
• Yassaman Fakhari

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.