Individual provider Active NPI

Anabel Juarez

  • Behavior Technician
  • Santa Clara, CA
National Provider Identifier
1003424029
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1171 Homestead Rd Ste 250
Santa Clara, CA 95050-5485
Phone
(408) 320-2590
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

1171 Homestead Rd Ste 250
Santa Clara, CA 95050-5485

Mailing address

3953 Lake Woodland CMN
Fremont, CA 94555-1250
Phone (510) 600-8693

Other practice location 1

3953 Lake Woodland Cmn
Fremont, CA 94555-1250
Phone (510) 600-8693

Other practice location 2

3953 Lake Woodland Cmn
Fremont, CA 94555-1250
Phone (408) 320-2590

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1003424029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 LAKE WOODLAND CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551250",
            "telephone_number": "510-600-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 HOMESTEAD RD STE 250",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505485",
            "telephone_number": "408-320-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3953 Lake Woodland Cmn",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945551250",
            "country_code": "US",
            "telephone_number": "510-600-8693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3953 Lake Woodland Cmn",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945551250",
            "country_code": "US",
            "telephone_number": "408-320-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "ANABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.