Edna Agundez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

625 Pennsylvania Ave
San Diego, CA 92103-4321

Phone

(858) 603-4812

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Include Autism

  • Community/Behavioral Health Agency
  • Poway, CA
  • NPI 1487191466
  NPD (past)
• Include Autism, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1093041600
  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790284628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 EASTGATE MALL UNIT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PENNSYLVANIA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034321",
            "telephone_number": "858-603-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15318 Pomerado Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642436",
            "country_code": "US",
            "telephone_number": "858-603-4812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4484 Eastgate Mall Unit 1",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211961",
            "country_code": "US",
            "telephone_number": "858-334-9126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUNDEZ",
        "first_name": "EDNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Aguirre
• Roxanne Gaxiola Aguirre
• Victoria Aguirre
• Wendy Aguirre, ASW
• Alfred Yucupicio Aguite, LMFT
• Ashley Christina Agustin
• Valerie Agustin
• Aizel Agustino, M.A., CCC-SLP
• Laura Agyeman, LICENSE, CCC-SLP
• Abena Anikade Agyemang

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.