Justin Matthew Crumbo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

00023096 Issued in CA

Practice address

27990 Sherman Rd
Menifee, CA 92585-9155

Phone

(951) 309-9135

NPI assigned

Oct 15, 2025

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1962378109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27990 SHERMAN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925859155",
            "telephone_number": "951-309-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27990 SHERMAN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925859155",
            "telephone_number": "951-309-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBO",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00023096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40000158238300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corneliu Vlad Costin, DPT
• County of Riverside (Menifee MCMT)
• Christina Joanna Covarrubias, LCSW, MSW, MS
• Naomi Lynn-Griffith Creath
• Curtis Michael Crook, MPT
• Desteny Lisette Cruz, LCSW
• Owen Russell Cruz, DDS
• Anthony Armando Cuaron
• Kaylee Alexa Cuellar
• Cultivate and Flourish, LLC

• Behavior Technician in Menifee, CA
• Providers in Menifee, 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 15, 2025; 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.