Leticia Dilworth, B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

10798420-2506 Issued in UT

Practice address

3610 Central Ave Ste 46
Riverside, CA 92506

Phone

(888) 428-3223

Fax

(323) 866-1881

NPI assigned

Oct 27, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intercare Therapy, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1184916496

  Behavior Analyst

  NPD
• Utah Autism Academy

  • Developmentally Disabled Services Day Training Agency
  • Midvale, UT
  • NPI 1972934537
  NPD (past)

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1720590946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 300A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "323-866-1880",
            "fax_number": "323-866-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 46",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 S Geneva Rd",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "84058",
            "country_code": "US",
            "telephone_number": "801-437-0490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 S Geneva Rd",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "84058",
            "country_code": "US",
            "telephone_number": "801-437-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILWORTH",
        "first_name": "LETICIA",
        "credential": "B.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "10798420-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Marie Diffine
• Digestive & Liver Diseases, P.C.
• Digestive Institute, Inc.
• Kirsten Dillon
• Mary Dillon, OTR
• Eveleen Dimaggio-Dietzler, LCSW
• Mark Anthony Dimaggio Jr.
• Sandra Denise Dimery, LCSW
• Jalal Din
• Dinesh Makadia Dental Inc

• Behavior Analyst in Riverside, CA
• Providers in Riverside, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.