Josephine J Irvin
Individual provider Active NPI Behavior Technician · American Canyon, CA
NPI 1255835948 · NPPES record last updated Mar 19, 2018
Key facts
- NPI
- 1255835948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-17-46152 (CA)
- Practice address
- 120 Theresa Ave
American Canyon, CA 94503-9654 - Phone
- (707) 561-0134
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-46152 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGrew Behavioral Health Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-46152 | CA | Yes |
Addresses
Primary practice location
120 Theresa Ave
American Canyon, CA 94503-9654
Mailing address
120 Theresa Ave
American Canyon, CA 94503-9654
Other providers in American Canyon, CA
- Lucinda Heidel
- Caroline Herndon
- Nicole Aryn Holownia
- Tyree Hunter
- Nea Ignacio
- Madison Janay Iwatsu
- Frode Joensen
- Tania Jones
- Julia Villa, D.D.S., Inc.
- Kaiser Permanente
All providers in American Canyon, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.