Lisset Acoeda

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

111 E Tahquitz Canyon Way Ste 110
Palm Springs, CA 92262-6430

Phone

(951) 440-6220

NPI assigned

Oct 29, 2021

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1952065443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E ALEXANDER WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623116",
            "telephone_number": "760-750-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E TAHQUITZ CANYON WAY STE 110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626430",
            "telephone_number": "951-440-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOEDA",
        "first_name": "LISSET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisset@datadrivenedu.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Data Driven Educators, LLC",
            "address_1": "111 E Tahquitz Canyon Way Ste 110",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922626430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ahmad Abuaisheh, MD
• Hilal Abuzahra, M.D.
• Access Medical, Inc.
• Alexis Accuar
• Juan Reyes Acedo Jr., COUNSELOR
• Jayrom Lalicon Acorda, PHARM.D.
• Crystal Christine Acosta
• Belma Q Adamos, RPH
• James Melvin Adams, M.D.
• Matthew Charles Adams, DO

• Behavior Technician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.