Marta Fajardo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4875 Santa Monica Blvd
Los Angeles, CA 90029-2633

Phone

(323) 767-3243

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Potential on the Rise LLC

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1376311779
  NPD
• Potential on the Rise LLC

  • In Home Supportive Care Agency
  • Los Angeles, CA
  • NPI 1497523294
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1881438471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292633",
            "telephone_number": "323-767-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292633",
            "telephone_number": "323-767-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danna A. Fajardo, RN
• Gregorio G Fajardo, PT
• Lorena Fajardo
• Maria Cherill Carlos Fajardo, D.D.S.
• Marie Fajardo, PT, ATC
• Patricia Fajardo, RN, MPH
• Stefanie Fajardo, MSW, LCSW
• Alisia Fajinmi-Babalola
• Pedram Fakheri, DDS
• Fakhoury Family and Individual Therapy Corporation (Samar Neurodivergent Therapy Center)

• Behavior Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.