Active NPI
Charity Fluegge, RBT
- Behavior Technician
- San Diego, CA
National Provider Identifier
1730595570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-15-08564
- Practice address
- 11770 Bernardo Plaza CT Ste 350
San Diego, CA 92128 - Phone
- (818) 241-6780
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Technician | 106S00000X | RBT-15-08564 | CA | Primary |
Addresses
Primary practice location
11770 Bernardo Plaza CT Ste 350
San Diego, CA 92128
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone (818) 241-6780
Other practice location 1
501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone (888) 880-9207
Other practice location 2
500 Fairway Dr
Ste. 102
Deerfield Beach, FL 33441-1814
Phone (888) 880-9270
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 |
|---|---|---|---|
| RBT-15-08564 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730595570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD STE 560",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062380",
"telephone_number": "818-241-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 BERNARDO PLAZA CT STE 350",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "818-241-6780"
}
],
"practiceLocations": [
{
"address_1": "501 W Broadway Ste 800",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921013546",
"country_code": "US",
"telephone_number": "888-880-9207",
"fax_number": "954-342-0273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Fairway Dr",
"address_2": "Ste. 102",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411814",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLUEGGE",
"first_name": "CHARITY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-15-08564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.