Organization Active NPI

Excelencia Behavioral Therapy

  • Behavior Analyst
  • Valley Center, CA
National Provider Identifier
1689370611
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EXCELENCIA BEHAVIORAL THERAPY
Practice address
29115 Valley Center Rd # K215
Valley Center, CA 92082-6560
Phone
(760) 214-5522
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juana Abigahil Mendoza Mendoza, BCBA
Title
Bcba
Phone
(760) 214-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

29115 Valley Center Rd # K215
Valley Center, CA 92082-6560

Mailing address

29115 Valley Center Rd # K215
Valley Center, CA 92082-6560
Phone (760) 214-5522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1689370611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29115 VALLEY CENTER RD # K215",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826560",
            "telephone_number": "760-214-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29115 VALLEY CENTER RD # K215",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826560",
            "telephone_number": "760-214-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELENCIA BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "MENDOZA MENDOZA",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "ABIGAHIL",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "760-214-5522",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.