Individual provider Active NPI

Naja Mossed Awnallah

  • Behavior Technician
  • Sacramento, CA
National Provider Identifier
1316414824
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
D1392119 Issued in CA
Practice address
4540 Harlin Dr
Sacramento, CA 95826-9716
Phone
(916) 364-7800
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X D1392119 CA Primary

Addresses

Primary practice location

4540 Harlin Dr
Sacramento, CA 95826-9716

Mailing address

4540 Harlin Dr
Sacramento, CA 95826-9716
Phone (916) 364-7800

Other identifiers 1

IdentifierTypeStateIssuer
D1392119OtherCATAXONOMY (BEHAVIOR TECHNICIAN)

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

State licenses

LicenseStateTypeSpecialty
D1392119CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Consultants, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1316414824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 HARLIN DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269716",
            "telephone_number": "916-364-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 HARLIN DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269716",
            "telephone_number": "916-364-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWNALLAH",
        "first_name": "NAJA",
        "middle_name": "MOSSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "D1392119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY (BEHAVIOR TECHNICIAN)",
            "identifier": "D1392119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.