Active NPI
Adeline Paduraru
- Behavior Analyst
- Walnut Creek, CA
National Provider Identifier
1124558945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29668
- Practice address
- 3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667 - Phone
- (925) 256-1100
- NPI assigned
- Jun 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-06530 | CA | |
| Behavior Analyst | 103K00000X | 1-18-29668 | CA | Primary |
Addresses
Primary practice location
3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667
Mailing address
3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667
Phone (925) 256-1100
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 |
|---|---|---|---|
| RBT-15-06530 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1124558945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 CITRUS CIR STE 240",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982667",
"telephone_number": "925-256-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 CITRUS CIR STE 240",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982667",
"telephone_number": "925-256-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADURARU",
"first_name": "ADELINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-15-06530",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-29668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.