Active NPI
Joanna Harrington
- Behavior Analyst
- Davis, CA
National Provider Identifier
1235514605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18112
- Practice address
- 417 Mace Blvd
Suite J #114
Davis, CA 95618-6053 - Phone
- (530) 574-0556
- NPI assigned
- Jul 27, 2015
- 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 Analyst | 103K00000X | 1-15-18112 | CA | Primary |
Addresses
Primary practice location
417 Mace Blvd
Suite J #114
Davis, CA 95618-6053
Mailing address
417 Mace Blvd
Suite J #114
Davis, CA 95618-6053
Phone (530) 574-0556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12385575 | Other | CA | CAQH NUMBER |
| 13678883 | Other | CA | CAQH |
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 Resources, Inc. | Behavior Analyst | Current | Accepting new patients |
Locations
417 Mace Blvd
Ste J
Davis, CA 95618
Phone (530) 229-6585
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.
-
- Behavior Analyst
- Davis, CA
- NPI 1063921005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1235514605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 MACE BLVD",
"address_2": "SUITE J #114",
"city": "DAVIS",
"state": "CA",
"postal_code": "956186053",
"telephone_number": "530-574-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 MACE BLVD",
"address_2": "SUITE J #114",
"city": "DAVIS",
"state": "CA",
"postal_code": "956186053",
"telephone_number": "530-574-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRINGTON",
"first_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-18112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "12385575",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13678883",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.