Adaure Celene Amugo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17037 Chatsworth St
Granada Hills, CA 91344-5825

Phone

(818) 655-0040

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1700554862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17037 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445825",
            "telephone_number": "818-655-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17037 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445825",
            "telephone_number": "818-655-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17037 Chatsworth St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445825",
            "country_code": "US",
            "telephone_number": "818-655-0040 x4",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17037 Chatsworth St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445825",
            "country_code": "US",
            "telephone_number": "818-655-0040 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUGO",
        "first_name": "ADAURE",
        "middle_name": "CELENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "A6715099",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.