Active NPI
Tara Walker
- Behavior Analyst
- Antioch, CA
National Provider Identifier
1285393272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3104 Delta Blvd
Antioch, CA 94509 - Phone
- (925) 709-6060
- NPI assigned
- Dec 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
3104 Delta Blvd
Antioch, CA 94509
Mailing address
3104 Delta Blvd
Antioch, CA 94509
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tarawalker@centerfoautism.com |
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": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1285393272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 DELTA BLVD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 DELTA BLVD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-709-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tarawalker@centerfoautism.com",
"affiliation": "N",
"address_1": "3104 Delta Fair Blvd",
"city": "Antioch",
"state": "CA",
"country_code": "US",
"postal_code": "945094001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.