Active NPI
Lubitza Montero
- Behavior Technician
- La Mesa, CA
National Provider Identifier
1861158255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-106436
- Practice address
- 7373 University Ave Ste 202
La Mesa, CA 91942-0524 - Phone
- (619) 713-0737
- Fax
- (619) 639-8277
- NPI assigned
- Nov 10, 2021
- Last updated
- Nov 10, 2021
- 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 | 19-106436 | CA | Primary |
Addresses
Primary practice location
7373 University Ave Ste 202
La Mesa, CA 91942-0524
Mailing address
7373 University Ave Ste 202
La Mesa, CA 91942-0524
Phone (619) 713-0737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19-106436 | Other | CA | BACB |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-106436 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1861158255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 UNIVERSITY AVE STE 202",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420524",
"telephone_number": "619-713-0737",
"fax_number": "619-639-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 UNIVERSITY AVE STE 202",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420524",
"telephone_number": "619-713-0737",
"fax_number": "619-639-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERO",
"first_name": "LUBITZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "19-106436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "19-106436",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.