Licelya Mendez-Pineda

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-60332 Issued in CA

Practice address

25190 Hancock Ave Ste C
Murrieta, CA 92562-5984

Phone

(951) 200-5532

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Autism Center, PC

  • Behavior Analyst
  • Temecula, CA
  • NPI 1356508030
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1750867925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 W DEVONSHIRE AVE APT K10",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25190 HANCOCK AVE STE C",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625984",
            "telephone_number": "951-200-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-PINEDA",
        "first_name": "LICELYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-60332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talha R Memon, M.D.
• Daphne Mena Perez
• Nancy Menchaca, RBT
• Brittani Mendenhall
• Wendy Eileen Mendes
• Alma Mendez, M.A., CCC-SLP
• Isai Mendiola
• Alma Mendoza
• Brenda Lyn Mendoza
• Juliza Mendoza

• Behavior Technician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.