Andre J Allen
Individual provider Active NPI Behavior Technician · Vallejo, CA
NPI 1013595982 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1013595982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 150 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7237 - Phone
- (916) 539-8445
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
150 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7237
Mailing address
1955 Lernhart St
Napa, CA 94559-4443
Phone (415) 738-9102
Other providers in Vallejo, CA
- Aaser Ali
- Bano Qutub Ali
- Tapin Kuptarut Alilin
- Awa Alizadeh Ghannad
- All Medical Supply & Equipment LLC
- Angelina Marie Bello-Chong Allen
- Debra Allen
- Dian R Allen
- Georgia Carol Allen
- Heather Marie Allen
All providers in Vallejo, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.