Genesis Behavior Center Inc.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

GENESIS BEHAVIOR CENTER INC.

Practice address

81 W March LN
Stockton, CA 95207-5723

Phone

(209) 342-7353

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Ana Diaz

Title

Behavior Therapist

Phone

(209) 276-8811

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Analisa Garcia

  • Behavior Technician
  • Stockton, CA
  • NPI 1013583210
  NPD
• Sharon Moore

  • Behavior Technician
  • Stockton, CA
  • NPI 1255911772
  NPD
• Karely Mora

  • Behavior Technician
  • Stockton, CA
  • NPI 1568037877
  NPD
• Andrea Salcedo

  • Behavior Technician
  • Stockton, CA
  • NPI 1679148845
  NPD

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1083289383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075723",
            "telephone_number": "209-342-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BEHAVIOR CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "209-276-8811"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Andrew Gehman
• Gio Arthur Juat Gemelga, MD
• Jalessa Gementera, LMFT 152060
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• Behavior Technician in Stockton, CA
• Providers in Stockton, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.