Elizabeth V Zamudio

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-418217 Issued in CA

Practice address

7373 University Ave Ste 116
La Mesa, CA 91942-0523

Phone

(619) 991-4499

NPI assigned

Apr 2, 2025

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

State licenses

Practice roles

Locations

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.

• MTR Child & Family Services LLC

  • Early Intervention Provider Agency
  • La Mesa, CA
  • NPI 1447993431
  NPD

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1861296766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 ROLL DR 210",
            "address_2": "APT 391",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE STE 116",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420523",
            "telephone_number": "619-991-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-25-418217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Young
• Saba Yousefian, MD
• Denise Quintanar Ysais
• Khadra Ismail Yusuf, PMHNP-BC
• Zachary C Cohen MD Apc
• Evone Zander, PSYD
• Nicole V Zappelli
• Carly Zarrow
• Amelinda Martha Zavaro-Khanjian, DO
• Heywood W Zeidman, MD

• Behavior Technician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.