Destiny Anissa Segura
Behavior Technician in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1013757129
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1013757129
- Entity type
- Individual (NPI-1)
- Name
- Destiny Anissa Segura
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2024
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8030 Soquel Ave Ste 104Santa Cruz, CA 95062-2096
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123 · Fax 619-374-7134
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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