Dante Eli Dy-Liacco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

39420 Liberty St Ste 150
Fremont, CA 94538-2284

Phone

(510) 794-5155

NPI assigned

Jun 16, 2022

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Speech, Language and Occupational Therapy a Prof Corp

  • Speech-Language Pathologist
  • Fremont, CA
  • NPI 1629120068
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1154051597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 150",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382284",
            "telephone_number": "510-794-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5252 Orange Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906302967",
            "country_code": "US",
            "telephone_number": "657-213-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DY-LIACCO",
        "first_name": "DANTE ELI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-23-259614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nicole Durden
• Anjani Durisety
• Lucile Dutra
• Sanjoy K. Dutta, MD
• DVK Holdings Inc
• Lalaine Criste Dy, NURSE PRACTITIONER
• Harleen Kaur Dyal, M.D.
• Sandra Lillian Dye, MFT
• Dynamic Care Transportation, Inc.
• E Paul Reid MD PC

• Behavior Technician in Fremont, CA
• Providers in Fremont, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.