Active NPI
Sean Collins Jr.
- Behavior Technician
- Rocklin, CA
National Provider Identifier
1245927235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6960 Destiny Dr Ste 112
Rocklin, CA 95677-2995 - Phone
- (916) 824-3220
- NPI assigned
- Apr 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
6960 Destiny Dr Ste 112
Rocklin, CA 95677-2995
Mailing address
4895 Rocklin Rd # 110a
Rocklin, CA 95677-3335
Phone (346) 648-7902
Other practice location 1
766 Silver Creek Cir
Plumas Lake, CA 95961-9198
Phone (530) 709-1995
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": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1245927235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 ROCKLIN RD # 110A",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773335",
"telephone_number": "346-648-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 DESTINY DR STE 112",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772995",
"telephone_number": "916-824-3220"
}
],
"practiceLocations": [
{
"address_1": "766 Silver Creek Cir",
"address_purpose": "LOCATION",
"city": "Plumas Lake",
"state": "CA",
"postal_code": "959619198",
"country_code": "US",
"telephone_number": "530-709-1995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "SEAN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-19",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.