Individual provider Active NPI

Cassandra Murillo

  • Behavior Technician
  • San Diego, CA
National Provider Identifier
1730839879
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-198776 Issued in CA
Practice address
9245 Activity Rd Ste 106
San Diego, CA 92126-4442
Phone
(858) 428-0222
Fax
(858) 345-3341
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 RBT-22-198776 CA Primary

Addresses

Primary practice location

9245 Activity Rd Ste 106
San Diego, CA 92126-4442

Mailing address

PO Box 631277
Cincinnati, OH 45263-1277
Phone (858) 428-0222

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
RBT-22-198776CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Xcite Steps, LLC CurrentSince Aug 28, 2022 Accepting new patients
Xcite Steps, LLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

9245 Activity Rd
Ste 106
San Diego, CA 92126
Phone (858) 428-0222

Organizations & group practices 2

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1730839879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631277",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631277",
            "telephone_number": "858-428-0222",
            "fax_number": "858-345-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 ACTIVITY RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264442",
            "telephone_number": "858-428-0222",
            "fax_number": "858-345-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-22-198776",
            "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 Mar 23, 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.