Lara Dyer
Behavior Technician in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1336714930
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1336714930
- Entity type
- Individual (NPI-1)
- Name
- Lara Dyer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2021
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
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
1520 Nutmeg Pl Ste 110Costa Mesa, CA 92626-2557
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780
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 1,011 Behavior Technician providers in Costa Mesa · All 5,371 providers in Costa Mesa
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