Leilani Lenora Wakin, BA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3419 Valle Verde Dr
Napa, CA 94558-2414

Phone

(707) 299-8250

NPI assigned

Mar 6, 2018

Sex

Female

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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1245732205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RONEY AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945907110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582414",
            "telephone_number": "707-299-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Peninsula Ave",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944011653",
            "country_code": "US",
            "telephone_number": "650-286-4396 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKIN",
        "first_name": "LEILANI",
        "middle_name": "LENORA",
        "name_prefix": "Miss",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "103K0000X",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Wagoner
• Timothy John Wahle, D.D.S.
• Corey Raymond Waken
• Eadgitha G. Waken, LVN
• Jennifer J Waken
• Nancy Lee Waldeck, MFT
• Walgreen Co (Walgreens #11822)
• Anik Walia
• Emanie Tashay Walker
• Heather Walker, RN

• Behavior Technician in Napa, CA
• Providers in Napa, 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 25, 2020; 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.