Individual provider Active NPI

Karely Paulina Flores

  • Behavior Technician
  • Oceanside, CA
National Provider Identifier
1629640420
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB694021 Issued in CA
Practice address
550 Seagaze Dr
Oceanside, CA 92054-3074
Phone
(760) 916-5907
Fax
(760) 683-6778
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB694021 CA Primary

Addresses

Primary practice location

550 Seagaze Dr
Oceanside, CA 92054-3074

Mailing address

456 Chardonnay CT
San Marcos, CA 92069-7820
Phone (760) 783-3997

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lex@abacape.com Direct

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

LicenseStateTypeSpecialty
BACB694021CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1629640420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 CHARDONNAY CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697820",
            "telephone_number": "760-783-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SEAGAZE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543074",
            "telephone_number": "760-916-5907",
            "fax_number": "760-683-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KARELY",
        "middle_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB694021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lex@abacape.com",
            "affiliation": "N",
            "endpointDescription": "Company President",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 Seagaze Dr",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920543074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.