Active NPI
Itzel Cota
- Behavior Analyst
- Chula Vista, CA
National Provider Identifier
1669050779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- D9647969
- Practice address
- 2832 Echo Ridge CT
Chula Vista, CA 91915-1618 - Phone
- (760) 234-7054
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- 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 Analyst | 103K00000X | D9647969 | CA | Primary |
Addresses
Primary practice location
2832 Echo Ridge CT
Chula Vista, CA 91915-1618
Mailing address
891 Kuhn Dr Ste 110
Chula Vista, CA 91914-3551
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
| License | State | Type | Specialty |
|---|---|---|---|
| D9647969 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1669050779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 KUHN DR STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919143551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 ECHO RIDGE CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151618",
"telephone_number": "760-234-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTA",
"first_name": "ITZEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "D9647969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.