Individual provider Active NPI

Lysette Calderon

  • Behavior Technician
  • Santa Fe Springs, CA
National Provider Identifier
1720956071
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
106S00000X Issued in CA
Practice address
12215 Telegraph Rd Ste 111
Santa Fe Springs, CA 90670-3344
Phone
(562) 252-8500
NPI assigned
Oct 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 106S00000X CA Primary

Addresses

Primary practice location

12215 Telegraph Rd Ste 111
Santa Fe Springs, CA 90670-3344

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Other practice location 1

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Phone (469) 694-1754

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

LicenseStateTypeSpecialty
106S00000XCAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism & Related Disorders, LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

5850 Granite Pkwy
Ste 600
Plano, TX 75024
Phone (442) 325-3819

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1720956071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 TELEGRAPH RD STE 111",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703344",
            "telephone_number": "562-252-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Granite Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750246753",
            "country_code": "US",
            "telephone_number": "469-694-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LYSETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.