Active NPI
Gabrielle Mejia
- Behavior Technician
- Ontario, CA
National Provider Identifier
1912583592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3333 Concours Ste 4102
Ontario, CA 91764-6564 - Phone
- (909) 240-1764
- Fax
- (909) 259-2369
- NPI assigned
- Mar 23, 2021
- 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 | Primary |
Addresses
Primary practice location
3333 Concours Ste 4102
Ontario, CA 91764-6564
Mailing address
13500 Live Oak St Apt 53
Hesperia, CA 92345-0503
Phone (323) 314-3276
Other practice location 1
1000 Lakes Dr Ste 320
West Covina, CA 91790-2938
Phone (888) 428-3223
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1912583592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 LIVE OAK ST APT 53",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923450503",
"telephone_number": "323-314-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CONCOURS STE 4102",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917646564",
"telephone_number": "909-240-1764",
"fax_number": "909-259-2369"
}
],
"practiceLocations": [
{
"address_1": "1000 Lakes Dr Ste 320",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917902938",
"country_code": "US",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEJIA",
"first_name": "GABRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.