Kaliq Valentine Hatcher

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Y4104606 Issued in CA

Practice address

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone

(714) 879-4274

NPI assigned

Dec 22, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1154081826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 W 134TH ST APT A",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902501435",
            "telephone_number": "323-872-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W COMMONWEALTH AVE STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321612",
            "telephone_number": "714-879-4274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4430 W 134th St Apt A",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902501435",
            "country_code": "US",
            "telephone_number": "323-872-8867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "KALIQ",
        "middle_name": "VALENTINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y4104606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasu Home Health Inc.
• Adrienne Jeong Hatae
• Christopher Hatae, D.D.S.
• Delaram Hatami, CCC-SLP
• Nathan John Hatch
• Havenhill Hospice
• Dajanae Hawes
• Kassandra Paula Hawkins
• Fatima Hayat, MD
• Sandra Mary Hayden, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.