David Tarantino

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24775 Issued in CA

Practice address

1670 Corporate Cir Ste 100
Petaluma, CA 94954-6947

Phone

(707) 308-2121

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1235526138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CORPORATE CIR STE 100",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546947",
            "telephone_number": "707-308-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Paul Drive",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "94903",
            "country_code": "US",
            "telephone_number": "877-264-6747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 N McDowell Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949546525",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-14-6034",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-24775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucie Taba, PT, DPT
• Estella Tafoya
• Catherine Tahmin, PSY.D
• Sean Tallent
• Mary Tappan
• Taras Litvin, O.D., Inc.
• Heather Anne Tasselmyer, RDN
• Amani J Tatmon
• Shanice Eschelle Tavita
• Susan Michelle Taylor Peters, MD

• Behavior Analyst in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.