Katrina Tabangcura

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-154478 Issued in HI

Practice address

17802 Sky Park Cir # 108
Irvine, CA 92614-6403

Phone

(714) 834-1111

NPI assigned

Dec 5, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1942771720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 OAKHURST ST",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092428",
            "telephone_number": "909-217-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17802 SKY PARK CIR # 108",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146403",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 San Bernardino St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632328",
            "country_code": "US",
            "telephone_number": "800-749-1965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99-870 Iwaena St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967013278",
            "country_code": "US",
            "telephone_number": "808-277-7736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABANGCURA",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-21-154478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phillip Anh Ta, M.D.
• Queennie Ta
• Neda Tabatabaei
• Sania Tabbasam
• Mahasti Tabib
• Andrea Frances Alonzo Taboclaon
• Patrick Keoni Tabon, PHARMD

• 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 Dec 7, 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.