Connor Myrick-Cox
Behavior Technician in Poway, CA. Individual provider (NPI-1).
NPI number1245045152
StatusActive
Last updated in NPPESFeb 8, 2025
Details
- NPI
- 1245045152
- Entity type
- Individual (NPI-1)
- Name
- Connor Myrick-Cox
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2025
- Certification date
- Feb 8, 2025
- Last updated
- Feb 8, 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 | RBT-25-409048 | CA | Yes |
Practice location
14251 Danielson StPoway, CA 92064-8818
Phone 858-699-7579
Mailing address
14251 Danielson StPoway, CA 92064-8818
Phone 858-699-7579
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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