Nicole Duthie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB681054 Issued in CA

Practice address

2222 Martin Ste 170
Irvine, CA 92612-1450

Phone

(949) 474-5577

NPI assigned

Sep 21, 2022

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Spectrum Consultants

  • Developmentally Disabled Services Day Training Agency
  • Irvine, CA
  • NPI 1306167994
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1912620238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DELPHIA AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214012",
            "telephone_number": "714-853-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MARTIN STE 170",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121450",
            "telephone_number": "949-474-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTHIE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB681054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bsanchez@ascaba.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2222 Martin Ste 170",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926121450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Duran
• Krista Lynne Durand
• Dennis Scott Durbin, DC
• Taleisheia Menee Durgin
• Ida Guadalupe Duron, LVN
• Efraim Duzman, M.D.
• Eran Duzman, M.D.
• Karen Dwyer
• Dxome Clia Laboratory, Inc.
• Alyssa Marie Dy

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.