Darlene L Allen

Key facts

NPI

1124782644

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

Practice address

639 N Stanislaus St Apt 19
Stockton, CA 95202-2213

Phone

(209) 423-4170

NPI assigned

Oct 30, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2023.

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1124782644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N STANISLAUS ST APT 19",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022213",
            "telephone_number": "209-423-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N STANISLAUS ST APT 19",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022213",
            "telephone_number": "209-423-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Fairway Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411834",
            "country_code": "US",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DARLENE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

• All Injury Clinic
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• Aarion Allen, ASW
• Amanda Allen, MS, RD, CNSC
• Kanasha Allen
• Katlin Allen
• Matthew Allen
• Paris Allen
• Simone Allenbach

All providers in Stockton, CA · Behavior Analyst in California