Tiara Uteau

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1130 Wall St.
#514 La Jolla
San Diego, CA 92037-4531

Phone

(562) 293-7623

NPI assigned

Jul 19, 2024

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

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1851139109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WALL ST.",
            "address_2": "#514 LA JOLLA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "920374531",
            "telephone_number": "562-293-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WALL ST.",
            "address_2": "#514 LA JOLLA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "920374531",
            "telephone_number": "562-293-7623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4540 Jutland Pl",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921173648",
            "country_code": "US",
            "telephone_number": "619-560-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTEAU",
        "first_name": "TIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ussery
• Amy Elizabeth Ustjanauskas, PH.D.
• Usv Optical Inc.
• Utah Lake Holdings LLC
• Christabel Samantha Utama
• Randi R Utecht, AOD
• Adam Nicolas Utic
• Emily Utschig
• Lacy Elizabeth Utterback, IMF
• Alessandra Catherine Utz, LMFT

• 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 Aug 13, 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.

Verify at the official NPI Registry.