Active NPI
Rayza Dallana Consuegra Benavidez
- Behavior Technician
- San Diego, CA
National Provider Identifier
1811752132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2404 F St
San Diego, CA 92102-2025 - Phone
- (619) 493-0077
- NPI assigned
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
2404 F St
San Diego, CA 92102-2025
Mailing address
3744 37TH St
San Diego, CA 92105-2409
Phone (619) 381-8478
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden View Learning Center, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1811752132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3744 37TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052409",
"telephone_number": "619-381-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 F ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921022025",
"telephone_number": "619-493-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSUEGRA BENAVIDEZ",
"first_name": "RAYZA",
"middle_name": "DALLANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.