Jacqueline Trinidad Maciel, DIPLOMA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1690 W Shaw Ave
Fresno, CA 93711-3516

Phone

(855) 345-2273

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1235634858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HOWARD RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375163",
            "telephone_number": "559-330-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113516",
            "telephone_number": "855-345-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Howard Rd",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375163",
            "country_code": "US",
            "telephone_number": "559-330-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIEL",
        "first_name": "JACQUELINE",
        "middle_name": "TRINIDAD",
        "credential": "DIPLOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Macias
• Rosa Isabel Macias
• Salvador Macias Jr.
• Sarah Macias
• Iliana Maciel
• Jessica Maciel
• Jeannette Mack
• Ryhon Jamal Mack
• Steve Mackie
• Joseph S Mackley, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.