Daniel Juarez, BS, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-17-40774 Issued in CA

Practice address

3180 Imjin Rd Ste 149
Marina, CA 93933-5111

Phone

(831) 786-0600

NPI assigned

Jan 5, 2018

Sex

Male

Sole proprietor

Yes

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

Credentials

Bachelor of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tucci Learning Solutions, Inc.

  • Community/Behavioral Health Agency
  • Marina, CA
  • NPI 1295918563
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1174030621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 IMJIN RD STE 149",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939335111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 IMJIN RD STE 149",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939335111",
            "telephone_number": "831-786-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "DANIEL",
        "credential": "BS, RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-40774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dingxin Jia
• Howard L. Jones, DDS
• Kaffia Jones
• Rosa Jones
• Vanessa L Jones, L.C.S.W.
• Dasy Nallely Juarez
• Courtney Jundt
• Brenton Mikito Micah Kanno
• Kristin Rene Kantner, MSW, LCSW
• Mohammad Karisli

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

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

Verify at the official NPI Registry.