Active NPI
Marilyn E Vasquez
- Behavior Technician
- Los Angeles, CA
National Provider Identifier
1952040404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-203215
- Practice address
- 5455 Wilshire Blvd Ste 800
Los Angeles, CA 90036-4271 - Phone
- (833) 669-4222
- NPI assigned
- Jun 2, 2022
- 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-22-203215 | CA | Primary |
Addresses
Primary practice location
5455 Wilshire Blvd Ste 800
Los Angeles, CA 90036-4271
Mailing address
11726 Lemay St Apt 13
North Hollywood, CA 91606-1639
Phone (747) 218-9229
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-22-203215 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1952040404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11726 LEMAY ST APT 13",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916061639",
"telephone_number": "747-218-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BLVD STE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364271",
"telephone_number": "833-669-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "MARILYN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-22-203215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.