Active NPI
Nancy Maciel
- Behavior Technician
- Patterson, CA
National Provider Identifier
1235865429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1130 Kestrel Dr
Patterson, CA 95363-9047 - Phone
- (925) 201-9512
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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
1130 Kestrel Dr
Patterson, CA 95363-9047
Mailing address
4186 Stanford Way
Livermore, CA 94550-3406
Other practice location 1
350 Fairway Dr Ste 101
Deerfield Bch, FL 33441-1834
Phone (877) 418-2978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1235865429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4186 STANFORD WAY",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945503406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 KESTREL DR",
"city": "PATTERSON",
"state": "CA",
"postal_code": "953639047",
"telephone_number": "925-201-9512"
}
],
"practiceLocations": [
{
"address_1": "350 Fairway Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Deerfield Bch",
"state": "FL",
"postal_code": "334411834",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACIEL",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patterson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.