Individual provider Active NPI

Ta Janae Durianna Fierro Blake

  • Behavior Technician
  • Vallejo, CA
National Provider Identifier
1013879659
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1201 Glen Cove Pkwy Apt 209
Vallejo, CA 94591-7172
Phone
(510) 838-5677
Fax
(510) 838-5677
NPI assigned
Dec 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

1201 Glen Cove Pkwy Apt 209
Vallejo, CA 94591-7172

Mailing address

1201 Glen Cove Pkwy Apt 209
Vallejo, CA 94591-7172
Phone (510) 838-5677

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": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1013879659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GLEN COVE PKWY APT 209",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917172",
            "telephone_number": "510-838-5677",
            "fax_number": "510-838-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GLEN COVE PKWY APT 209",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917172",
            "telephone_number": "510-838-5677",
            "fax_number": "510-838-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERRO BLAKE",
        "first_name": "TA JANAE",
        "middle_name": "DURIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.