Active NPI
Judith Segura
- Behavior Analyst
- Palm Desert, CA
National Provider Identifier
1568935807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- F3610048
- Practice address
- 74710 Highway 111 Ste 102
Palm Desert, CA 92260-3820 - Phone
- (916) 755-9805
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | F3610048 | CA | Primary |
Addresses
Primary practice location
74710 Highway 111 Ste 102
Palm Desert, CA 92260-3820
Mailing address
77700 Michigan Dr Apt F9
Palm Desert, CA 92211-8039
Phone (760) 989-7831
Other practice location 1
77700 Michigan Dr Apt F9
Palm Desert, CA 92211-8039
Phone (760) 989-7831
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3610048 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1568935807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77700 MICHIGAN DR APT F9",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922118039",
"telephone_number": "760-989-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74710 HIGHWAY 111 STE 102",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603820",
"telephone_number": "916-755-9805"
}
],
"practiceLocations": [
{
"address_1": "77700 Michigan Dr Apt F9",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922118039",
"country_code": "US",
"telephone_number": "760-989-7831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGURA",
"first_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "F3610048",
"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 Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.