Individual provider Active NPI

Renee Becnel

  • Behavior Analyst
  • Davis, CA
National Provider Identifier
1255572707
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MFC 44546 Issued in CA
Practice address
105 E St
Ste 2 H
Davis, CA 95616-4697
Phone
(530) 351-8665
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MFC 44546 CA Primary

Addresses

Primary practice location

105 E St
Ste 2 H
Davis, CA 95616-4697

Mailing address

3401 Koso St
Davis, CA 95618-6036
Phone (530) 351-8665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2025 through Jan 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 44546CAMDBehavioral Analyst
44546CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1255572707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 KOSO ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186036",
            "telephone_number": "530-351-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ST",
            "address_2": "STE 2 H",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164697",
            "telephone_number": "530-351-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECNEL",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "MFC 44546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.