Active NPI
David Guerrero Duenas, BA/LICENCIATURA
- Behavior Technician
- El Centro, CA
National Provider Identifier
1669012290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1603 W Main St
El Centro, CA 92243-2212 - Phone
- (760) 679-0540
- NPI assigned
- Jan 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
1603 W Main St
El Centro, CA 92243-2212
Mailing address
711 Paulin Ave
Calexico, CA 92231-5107
Phone (760) 909-5113
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578700800000",
"number": "1669012290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 PAULIN AVE",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922315107",
"telephone_number": "760-909-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 W MAIN ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922432212",
"telephone_number": "760-679-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUENAS",
"first_name": "DAVID",
"middle_name": "GUERRERO",
"credential": "BA/LICENCIATURA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.