Samaria Eshugbohungbe
Behavior Technician in El Segundo, CA. Individual provider (NPI-1).
NPI number1104795137
StatusActive
Last updated in NPPESOct 29, 2025
Details
- NPI
- 1104795137
- Entity type
- Individual (NPI-1)
- Name
- Samaria Eshugbohungbe
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2025
- Certification date
- Oct 29, 2025
- Last updated
- Oct 29, 2025
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
100 N Pacific Coast HwyEl Segundo, CA 90245-4359
Phone 424-208-2395
Mailing address
100 N Pacific Coast HwyEl Segundo, CA 90245-4359
Phone 424-208-2395
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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All 5,443 Behavior Technician providers in El Segundo · All 6,342 providers in El Segundo
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