Active NPI
Dubravka Stewart, RBT, BACB
- Behavior Technician
- Alameda, CA
National Provider Identifier
1134613870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB418378
- Practice address
- 1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188 - Phone
- (510) 268-8120
- NPI assigned
- Jun 16, 2018
- 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 | BACB418378 | HI | Primary |
Addresses
Primary practice location
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Mailing address
330 Alameda de la Loma
Novato, CA 94949-5936
Phone (530) 717-7232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB418378 | Other | HI | BACB |
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 |
|---|---|---|---|
| BACB418378 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1134613870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 ALAMEDA DE LA LOMA",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495936",
"telephone_number": "530-717-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 ATLANTIC AVE STE 101",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011188",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DUBRAVKA",
"name_prefix": "Mrs.",
"credential": "RBT, BACB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-16",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "BACB418378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "BACB418378",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.