Active NPI
Anna Katlyn Wareckiy, RBT
- Behavior Technician
- Sacramento, CA
National Provider Identifier
1073009247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-48174
- Practice address
- 6000 J Street
Sacramento, CA 95819 - Phone
- (916) 548-2562
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-48174 | CA | Primary |
Addresses
Primary practice location
6000 J Street
Sacramento, CA 95819
Mailing address
8897 Salmon Falls Dr Apt B
Sacramento, CA 95826-1932
Phone (192) 582-2574
Other practice location 1
6000 J St
Sacramento, CA 95819-2605
Phone (916) 548-2562
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-48174 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1073009247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8897 SALMON FALLS DR APT B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261932",
"telephone_number": "192-582-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 J STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95819",
"telephone_number": "916-548-2562"
}
],
"practiceLocations": [
{
"address_1": "6000 J St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958192605",
"country_code": "US",
"telephone_number": "916-548-2562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARECKIY",
"first_name": "ANNA",
"middle_name": "KATLYN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-48174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.