Individual provider Active NPI

Alonzo Juwan Pouges

  • Behavior Technician
  • San Tan Valley, AZ
National Provider Identifier
1629930243
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2300 E Magma Rd Unit 140
San Tan Valley, AZ 85143-4927
Phone
(602) 799-1337
Fax
(602) 799-1337
NPI assigned
Dec 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 AZ Primary

Addresses

Primary practice location

2300 E Magma Rd Unit 140
San Tan Valley, AZ 85143-4927

Mailing address

2300 E Magma Rd Unit 140
San Tan Valley, AZ 85143-4927

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

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1629930243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E MAGMA RD UNIT 140",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E MAGMA RD UNIT 140",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434927",
            "telephone_number": "602-799-1337",
            "fax_number": "602-799-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUGES",
        "first_name": "ALONZO",
        "middle_name": "JUWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.