Taliah I Meadows

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

F4723069 Issued in CA

Practice address

179 E Ralston Ave Apt 10
San Bernardino, CA 92404-1651

Phone

(909) 577-4414

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1104697267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 E RALSTON AVE APT 10",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041651",
            "telephone_number": "909-577-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 E RALSTON AVE APT 10",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041651",
            "telephone_number": "909-577-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "TALIAH",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "F4723069",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F4723069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Medical Transport
• MDG Consulting Group Inc
• Elizabeth Ashley Meade, N.P.
• Ahmon Jamal Meadows
• Debra A Meadows, DDS
• Breana Manu'a Limalau Meaole I
• Fred Alan Meares, MFT
• Jonathan Lim Meas
• Hannah Kathleen Mecate
• Med-Event Medical Services

• Behavior Technician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.