Individual provider Active NPI

Suzan Namugabo

  • Behavior Technician
  • Corona, CA
National Provider Identifier
1629981402
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
21650 Temescal Canyon Rd SPC 79
Corona, CA 92883-7308
Phone
(951) 374-2207
NPI assigned
Sep 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 CA Primary

Addresses

Primary practice location

21650 Temescal Canyon Rd SPC 79
Corona, CA 92883-7308

Mailing address

21650 Temescal Canyon Rd SPC 79
Corona, CA 92883-7308
Phone (951) 374-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1629981402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21650 TEMESCAL CANYON RD SPC 79",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837308",
            "telephone_number": "951-374-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 TEMESCAL CANYON RD SPC 79",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928837308",
            "telephone_number": "951-374-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMUGABO",
        "first_name": "SUZAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.