Active NPI
Leonel Martinez
- Behavior Technician
- Laguna Hills, CA
National Provider Identifier
1881234540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 25411 Cabot Rd
Laguna Hills, CA 92653-5520 - Phone
- (949) 861-7340
- NPI assigned
- Jan 10, 2020
- Sex
- Male
- 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
25411 Cabot Rd
Laguna Hills, CA 92653-5520
Mailing address
29432 Troon St
Laguna Niguel, CA 92677-1639
Phone (949) 378-4539
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.360behavioralhealth.com |
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": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1881234540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29432 TROON ST",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771639",
"telephone_number": "949-378-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25411 CABOT RD",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535520",
"telephone_number": "949-861-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LEONEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.360behavioralhealth.com",
"affiliation": "N",
"address_1": "25411 Cabot Rd",
"city": "Laguna Hills",
"state": "CA",
"country_code": "US",
"postal_code": "926535520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.