Active NPI
Juan Manuel Juarez Jr.
- Behavior Technician
- Sparks, NV
National Provider Identifier
1154893980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 480 Galletti Way
Sparks, NV 89431-5564 - Phone
- (530) 208-7270
- NPI assigned
- Dec 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
480 Galletti Way
Sparks, NV 89431-5564
Mailing address
480 Galletti Way # 8
Sparks, NV 89431-5564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225C00000X | Other | NV | ATC |
| 101Y00000X | Other | NV | ATC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1154893980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY # 8",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564",
"telephone_number": "530-208-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "JUAN",
"middle_name": "MANUEL",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATC",
"identifier": "225C00000X",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATC",
"identifier": "101Y00000X",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.