Individual provider Active NPI

Thalia Elizarraras- Trejo

  • Behavior Technician
  • Newport Beach, CA
National Provider Identifier
1760396113
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1151 Dove St Ste 140
Newport Beach, CA 92660-2837
Phone
(657) 294-5113
Fax
(657) 294-5114
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 NU Primary

Addresses

Primary practice location

1151 Dove St Ste 140
Newport Beach, CA 92660-2837

Mailing address

1151 Dove St Ste 140
Newport Beach, CA 92660-2837
Phone (657) 294-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1760396113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602837",
            "telephone_number": "657-294-5113",
            "fax_number": "657-294-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602837",
            "telephone_number": "657-294-5113",
            "fax_number": "657-294-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZARRARAS- TREJO",
        "first_name": "THALIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.