Individual provider Active NPI

Itzel Alexandria Amezcua

  • Behavior Analyst
  • Ontario, CA
National Provider Identifier
1992338487
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-60349 Issued in CA
Practice address
2910 Inland Empire Blvd Ste 104
Ontario, CA 91764-4896
Phone
(855) 295-3276
Fax
(888) 588-2752
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-22-60349 CA Primary

Addresses

Primary practice location

2910 Inland Empire Blvd Ste 104
Ontario, CA 91764-4896

Mailing address

1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (818) 241-6780

Other practice location 1

25101 The Old Rd Ste 142A
Santa Clarita, CA 91381-2206
Phone (855) 295-3276

Other practice location 2

12432 Bellflower Blvd
Downey, CA 90242-2806
Phone (855) 295-3276

Other practice location 3

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Phone (000) 000-0000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address IAmezcua@autismlearningpartners.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1992338487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S MAYFLOWER AVE STE 220",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165239",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 INLAND EMPIRE BLVD STE 104",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644896",
            "telephone_number": "855-295-3276",
            "fax_number": "888-588-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25101 The Old Rd Ste 142A",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913812206",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12432 Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902422806",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "800-819-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S Myrtle Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910163406",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEZCUA",
        "first_name": "ITZEL",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-60349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IAmezcua@autismlearningpartners.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12432 Bellflower Blvd",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.