What is Ebony Custodio's NPI number?

Ebony Custodio's National Provider Identifier (NPI) is 1679398291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ebony Custodio's specialty?

Ebony Custodio is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Ebony Custodio located?

Ebony Custodio's practice location on file with NPPES is 3655 Ruffin Rd Ste 100, San Diego, CA 92123-1847.

What is Ebony Custodio's phone number?

The practice phone number listed in the NPPES registry for Ebony Custodio is (951) 813-4034.

Is Ebony Custodio's NPI active?

Yes — Ebony Custodio's NPI (1679398291) is active in the NPPES registry as of the last update on 2024-11-21.

IndividualActive

Ebony Custodio

NPI 1679398291 · Behavior Technician · San Diego, CA

Ebony Custodio is a Behavior Technician provider in San Diego, CA (NPI 1679398291).

Provider details

NPI number: 1679398291
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: 106S00000X (CA)

Specialties & taxonomies

Behavior TechnicianPrimary106S00000XLicense 106S00000X (CA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3655 Ruffin Rd Ste 100

San Diego, CA 92123-1847

Phone: (951) 813-4034

Street-level locationGet directions

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Mailing address