Individual provider Active NPI

Stefan Cukic

  • Behavior Technician
  • Fountain Valley, CA
National Provider Identifier
1770451122
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
19491 Issued in CA
Practice address
9213 Buttercup Ave
Fountain Valley, CA 92708-1905
Phone
(408) 707-2682
NPI assigned
Oct 27, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X 19491 CA Primary

Addresses

Primary practice location

9213 Buttercup Ave
Fountain Valley, CA 92708-1905

Mailing address

9213 Buttercup Ave
Fountain Valley, CA 92708-1905

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

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1770451122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 BUTTERCUP AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 BUTTERCUP AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081905",
            "telephone_number": "408-707-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUKIC",
        "first_name": "STEFAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "19491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.