Jamie Beck
Individual provider Active NPI Behavior Technician · Modesto, CA
NPI 1285115121 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1285115121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2630 W Rumble Rd
Modesto, CA 95350-0155 - Phone
- (209) 579-9444
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2630 W Rumble Rd
Modesto, CA 95350-0155
Mailing address
2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 579-9444
NPI Registry JSON
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1285115121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 W RUMBLE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500155",
"telephone_number": "209-579-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 W RUMBLE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500155",
"telephone_number": "209-579-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Bonnie Beardsley
- Breanna Becerra
- Elizabeth Becerra
- Luz Becerra
- Charley Chips Beck
- Michael Steven Beck
- Phillip H Beck
- Crystal Lynn Becker
- Jody Becker
- Bailey Duane Beckham
All providers in Modesto, 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 Aug 28, 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.