Regina Johnson
Individual provider Active NPI Behavior Technician · Manteca, CA
NPI 1114749223 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1114749223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 250 Cherry LN
Manteca, CA 95337-4395 - Phone
- (209) 200-9481
- NPI assigned
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
250 Cherry LN
Manteca, CA 95337-4395
Mailing address
250 Cherry LN
Manteca, CA 95337-4395
Other providers in Manteca, CA
- John C. Trueb, DDS, Inc.
- John P. Filippini Chiropractic Corporation
- Reshma Susan John
- Annette M Johnson-Allen
- Joselyn M Johnson
- Sabrina Marie Jones
- Twaindia L Jordan
- Gail R Joseph
- Juli Joseph
- Ron Joseph
All providers in Manteca, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.