Drayton K Fowler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

E3293182 Issued in CA

Practice address

11344 Coloma Rd Ste 570
Gold River, CA 95670-6304

Phone

(916) 676-0488

NPI assigned

Feb 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1053018671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 LYNWOOD WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958641569",
            "telephone_number": "559-361-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD STE 570",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706304",
            "telephone_number": "916-676-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "DRAYTON",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "E3293182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Fealk, D.C.
• Ignacio Fernandez, CADC-CAS
• Jon G Finkler, MD
• Kimberly Leeann Foote
• Victoria Foreman, AMFT
• Michael A Frank, M.S. M.F.T L.P.CC.
• Jeanann Frey
• Jo Ann Elizabeth Friedrich, PHYSICIAN ASSISTANT
• Feather Gaither, PSY.D
• Nasser Ganji

• All providers in Gold River, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.