Active NPI
Autumn Duarte Deguzman
- Behavior Technician
- Carlsbad, CA
National Provider Identifier
1790493047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2888 Loker Ave East Suite 309 Carlsbad, Ca 92010
Carlsbad, CA 92010 - Phone
- (760) 691-1513
- Fax
- (855) 568-2494
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2888 Loker Ave East Suite 309 Carlsbad, Ca 92010
Carlsbad, CA 92010
Mailing address
2888 Loker Ave East Suite 309 Carlsbad, Ca 92010
Carlsbad, CA 92010
Phone (760) 691-1513
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": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1790493047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2888 LOKER AVE EAST SUITE 309 CARLSBAD, CA 92010",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92010",
"telephone_number": "760-691-1513",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2888 LOKER AVE EAST SUITE 309 CARLSBAD, CA 92010",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92010",
"telephone_number": "760-691-1513",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "AUTUMN",
"middle_name": "DUARTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.