Liceth Licea

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

Maxim Healthcare Services, 2141 Palomar Airport Rd
Ste 350
Carlsbad, CA 92011

Phone

(760) 710-2460

Fax

(855) 864-1491

NPI assigned

Nov 17, 2020

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1881297414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAXIM HEALTHCARE SERVICES, 2141 PALOMAR AIRPORT RD",
            "address_2": "STE 350",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "760-710-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAXIM HEALTHCARE SERVICES, 2141 PALOMAR AIRPORT RD",
            "address_2": "STE 350",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "760-710-2460",
            "fax_number": "855-864-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICEA",
        "first_name": "LICETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne N Lewis
• Linda K Lewis, MD
• Megan B. Lewis, PSY.D.
• Xun Li, M.D.
• Patricia L Librizzi
• Jadeyn Licon
• Savannah Joy Lien
• Sue Liethen, DDS
• Pei Chen Liew
• Life Flight, Inc.

• Behavior Technician in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.