Adriana Lizette Cisneros

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-79467 Issued in CA

Practice address

20555 Prospect Rd
Cupertino, CA 95014-5212

Phone

(650) 930-9550

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By 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

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1609673029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 MAIN ST APT 31",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503529",
            "telephone_number": "669-288-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20555 PROSPECT RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145212",
            "telephone_number": "650-930-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ADRIANA",
        "middle_name": "LIZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-25-79467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian W Chun, D.D.S.
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• Timothy Coldiron, LMFT

• Behavior Analyst in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.