Allysa De Vera

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

609 Anderson Rd Apt 285
Davis, CA 95616-3540

Phone

(619) 651-6350

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1235857467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 OASIS ST",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922512523",
            "telephone_number": "619-651-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ANDERSON RD APT 285",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163540",
            "telephone_number": "619-651-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2636 Oasis St",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "CA",
            "postal_code": "922512523",
            "country_code": "US",
            "telephone_number": "619-651-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "ALLYSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Josephine Davis
• Shamelah Davis
• Wendy Walker Davis, PH.D.
• Sofia Briones De Leon
• Juan Anthony De Santiago
• Christine Anna Deamer, MA
• Dean a. Dickerson, PH.D. (Psychological Resource Associates)
• Natasha Irene Dean
• Dana Deane, CNM
• Kimberly Anne Deese, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.