Katherine N Landeros, MA
Behavior Technician in Lake Elsinore, CA. Individual provider (NPI-1).
NPI number1669946216
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1669946216
- Entity type
- Individual (NPI-1)
- Name
- Katherine N Landeros
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
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
35317 Trailside DrLake Elsinore, CA 92532-2593
Phone 562-322-6818
Mailing address
1650 Spruce StRiverside, CA 92507-7402
Phone 760-815-9056
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 43 Behavior Technician providers in Lake Elsinore · All 1,060 providers in Lake Elsinore
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