Active NPI
Fatima Corral
- Behavior Technician
- Walnut Creek, CA
National Provider Identifier
1174346134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 313 Lennon LN Ste 100
Walnut Creek, CA 94598-2460 - Phone
- (925) 465-1585
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
313 Lennon LN Ste 100
Walnut Creek, CA 94598-2460
Mailing address
5537 Pinnacle View CT
Antioch, CA 94531-8686
Phone (510) 609-7686
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Treatment & Analysis | Current | Accepting new patients |
Locations
313 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 278-6489
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Walnut Creek, CA
- NPI 1154843175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1174346134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 PINNACLE VIEW CT",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318686",
"telephone_number": "510-609-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 LENNON LN STE 100",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982460",
"telephone_number": "925-465-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRAL",
"first_name": "FATIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.