Active NPI
Guadalupe Heraldez
- Behavior Technician
- Bakersfield, CA
National Provider Identifier
1104557016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F7938732
- Practice address
- 8302 Espresso Dr Ste 100
Bakersfield, CA 93312-5688 - Phone
- (661) 348-2155
- NPI assigned
- Jun 21, 2022
- 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 | F7938732 | CA | Primary |
Addresses
Primary practice location
8302 Espresso Dr Ste 100
Bakersfield, CA 93312-5688
Mailing address
701 Tyler St
Taft, CA 93268-1507
Phone (661) 348-2155
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 |
|---|---|---|---|
| F7938732 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1104557016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 TYLER ST",
"city": "TAFT",
"state": "CA",
"postal_code": "932681507",
"telephone_number": "661-348-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 ESPRESSO DR STE 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933125688",
"telephone_number": "661-348-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERALDEZ",
"first_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F7938732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.