Clarissa Marie Moreno

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538

Phone

(661) 702-0166

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

Yes

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1629694856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23502 LYONS AVE STE 304A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-702-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23502 LYONS AVE STE 304A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212538",
            "telephone_number": "661-702-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CLARISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie Morales
• Daniel Moran
• Elizabeth Grace Morasso, LCSW
• Lourdes Moreno Vela, DDS
• Aisha Moreno
• Tatiana Yamilet Moreno
• Chanel Maeliza Morgan, CRNA
• David Lawrence Morrow, MD.
• Arlene Carabio Morton, BSN RN
• Mariano Javier Morua

• Behavior Technician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.