Samantha Isabelle Estrada, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-129363 Issued in CA

Practice address

41769 Enterprise Cir N Ste 104
Temecula, CA 92590-5626

Phone

(951) 303-8255

Fax

(951) 719-3429

NPI assigned

Aug 25, 2020

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

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1609489103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255",
            "fax_number": "951-719-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255",
            "fax_number": "951-719-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "SAMANTHA",
        "middle_name": "ISABELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-20-129363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@temeculatherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "41769 Enterprise Cir N Ste 104",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925905626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luis Esquivias
• Cynthia Estrada
• Josephine Estrada
• Mia Estrada
• Priscella Estrada
• Marcus Stewart Ettinger, D.C.
• Valarie Etukudo
• Karen H Eubank, LCSW
• Sarajean Corinne Evans, FNP-C
• Evergreen RX Pharmacy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.