Active NPI
Kabir Adejare
- Behavior Technician
- Martinez, CA
National Provider Identifier
1093470460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1330 Arnold Dr Ste 148
Martinez, CA 94553-6538 - Phone
- (510) 974-3804
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1330 Arnold Dr Ste 148
Martinez, CA 94553-6538
Mailing address
1007 Mohr Lane, Unit 4
Concord, CA 94518
Phone (925) 395-8999
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": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1093470460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 MOHR LANE, UNIT 4",
"city": "CONCORD",
"state": "CA",
"postal_code": "94518",
"telephone_number": "925-395-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 ARNOLD DR STE 148",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945536538",
"telephone_number": "510-974-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEJARE",
"first_name": "KABIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.