Aditya Datta
Behavior Technician in El Cajon, CA. Individual provider (NPI-1).
NPI number1558089581
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1558089581
- Entity type
- Individual (NPI-1)
- Name
- Aditya Datta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
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
321 Van Houten AveEl Cajon, CA 92020-5128
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
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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All 565 Behavior Technician providers in El Cajon · All 4,057 providers in El Cajon
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