Active NPI
Giselle Leoro
- Behavior Technician
- Eastvale, CA
National Provider Identifier
1720633894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y2995610
- Practice address
- 14507 Persimmon CT
Eastvale, CA 92880-3510 - Phone
- (818) 849-8717
- NPI assigned
- Aug 6, 2019
- Last updated
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | Y2995610 | CA | Primary |
Addresses
Primary practice location
14507 Persimmon CT
Eastvale, CA 92880-3510
Mailing address
802 Magnolia Ave Ste 202
Corona, CA 92879-3144
Phone (951) 686-2020
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 |
|---|---|---|---|
| Y2995610 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1720633894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 MAGNOLIA AVE STE 202",
"city": "CORONA",
"state": "CA",
"postal_code": "928793144",
"telephone_number": "951-686-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14507 PERSIMMON CT",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928803510",
"telephone_number": "818-849-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEORO",
"first_name": "GISELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y2995610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.