Rhonda Lea Hallock
Individual provider Active NPI Behavior Technician · Bayside, CA
NPI 1164032108 · NPPES record last updated Aug 4, 2020
Key facts
- NPI
- 1164032108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-17-36212 (CA)
- Practice address
- 2670 Jacoby Creek Rd
Bayside, CA 95524-9379 - Phone
- (707) 672-4885
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-36212 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauren Cook Bcba LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-36212 | CA | Yes |
Addresses
Primary practice location
2670 Jacoby Creek Rd
Bayside, CA 95524-9379
Mailing address
3081 Pomona LN
Arcata, CA 95521-5199
Phone (707) 599-3941
Other providers in Bayside, CA
- Sofia Alaoui
- Geoff Barrett
- Denise Delphine Downey
- Amy Marie Gaskill
- Elana Libby Griffin
- Madrone Midwifery
- Kathleen Marie Maguire Sonn
- Elisa Jacqueline Miller
- Karrie J Pehle
- Maria Margarita Ramirez
All providers in Bayside, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.