Individual provider Active NPI

Karla Melissa Cota

  • Behavior Technician
  • El Centro, CA
National Provider Identifier
1902622129
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
W1445315 Issued in CA
Practice address
1802 N Imperial Ave
Suite D130
El Centro, CA 92243-1325
Phone
(442) 283-6035
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X W1445315 CA Primary

Addresses

Primary practice location

1802 N Imperial Ave
Suite D130
El Centro, CA 92243-1325

Mailing address

592 Wensley Ave
El Centro, CA 92243-3955
Phone (442) 283-6035

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

LicenseStateTypeSpecialty
W1445315CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1902622129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 WENSLEY AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433955",
            "telephone_number": "442-283-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N IMPERIAL AVE",
            "address_2": "SUITE D130",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431325",
            "telephone_number": "442-283-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTA",
        "first_name": "KARLA",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "W1445315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.