Active NPI
Jeremy Walker
- Behavior Analyst
- Murrieta, CA
National Provider Identifier
1003373234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-44842
- Practice address
- 29995 Technology Dr Ste 200
Murrieta, CA 92563-2633 - Phone
- (951) 297-7460
- NPI assigned
- Feb 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-44842 | CA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
29995 Technology Dr Ste 200
Murrieta, CA 92563-2633
Mailing address
45111 Riverstone CT
Temecula, CA 92592-6527
Phone (951) 595-1564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychcare, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Van Nuys, CA
- NPI 1811289150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1003373234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45111 RIVERSTONE CT",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926527",
"telephone_number": "951-595-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29995 TECHNOLOGY DR STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632633",
"telephone_number": "951-297-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-24",
"last_updated": "2020-12-16",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-20-44842",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.