Manuela O Powers, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-5779 Issued in CA

Practice address

18002 Irvine Blvd Ste 202C
Tustin, CA 92780-3322

Phone

(949) 231-7979

Fax

(714) 242-1646

NPI assigned

Apr 9, 2014

Last updated

Jan 7, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lighthouse Behavioral Solutions

  • Behavior Analyst
  • Tustin, CA
  • NPI 1972019941
  NPD (past) Authorized official
• Footprints Behavior Interventions

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1770004830
  NPD (past)
• Footprints Behavioral Interventions, Inc.

  dba Footprints Behavioral Interventions

  • Early Intervention Provider Agency
  • Santa Ana, CA
  • NPI 1780978858
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1891114534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD STE 202C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803322",
            "telephone_number": "657-223-3986",
            "fax_number": "714-242-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD STE 202C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803322",
            "telephone_number": "949-231-7979",
            "fax_number": "714-242-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MANUELA",
        "middle_name": "O",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Manuela@lhbehavioral.com",
            "affiliation": "N",
            "address_1": "29 Cheyenne",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926041964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arturo Portales, D.O.
• Benjamin Steven Portillo
• Portview Preparatory, Inc.
• Positive Recovery Center
• Post Speech Pathology, Inc. (Tustin Speech and Language Center)
• Prairie Dialysis LLC
• Preferred Care Services, LLC (Right at Home)
• Premier Dental
• Premier Wellness Medical Center
• Premise Health of California Medical PC (AT&T Health & Wellbeing Center Operated by Premise Health)

• Behavior Analyst in Tustin, CA
• Providers in Tustin, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.