Active NPI
Katherine Zoque
- Behavior Technician
- San Diego, CA
National Provider Identifier
1891253969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-79849
- Practice address
- 11665 Avena PL Ste 204
San Diego, CA 92128-2428 - Phone
- (858) 888-9062
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- 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 | RBT-19-79849 | CA | Primary |
Addresses
Primary practice location
11665 Avena PL Ste 204
San Diego, CA 92128-2428
Mailing address
PO Box 27965
San Diego, CA 92198-1965
Other practice location 1
4883 Ronson Ct Ste I
San Diego, CA 92111-1812
Phone (760) 294-1206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-79849 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Psychological Services | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1891253969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27965",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921981965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11665 AVENA PL STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282428",
"telephone_number": "858-888-9062"
}
],
"practiceLocations": [
{
"address_1": "4883 Ronson Ct Ste I",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921111812",
"country_code": "US",
"telephone_number": "760-294-1206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOQUE",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-19-79849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.