Active NPI
Marianita Carbonare Vieira, BCBA
- Behavior Analyst
- Vallejo, CA
National Provider Identifier
1326856980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB526047
- Practice address
- 3272 Sonoma Blvd Ste 4
Vallejo, CA 94590-2918 - Phone
- (707) 332-6710
- NPI assigned
- Dec 27, 2024
- 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 | BACB526047 | Primary |
Addresses
Primary practice location
3272 Sonoma Blvd Ste 4
Vallejo, CA 94590-2918
Mailing address
18 Nancy Dr
Novato, CA 94947-3827
Phone (707) 624-9747
Other practice location 1
18 Nancy Dr
Novato, CA 94947-3827
Phone (707) 624-9747
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": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1326856980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NANCY DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "949473827",
"telephone_number": "707-624-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3272 SONOMA BLVD STE 4",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945902918",
"telephone_number": "707-332-6710"
}
],
"practiceLocations": [
{
"address_1": "18 Nancy Dr",
"address_purpose": "LOCATION",
"city": "Novato",
"state": "CA",
"postal_code": "949473827",
"country_code": "US",
"telephone_number": "707-624-9747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIEIRA",
"first_name": "MARIANITA",
"middle_name": "CARBONARE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "BACB526047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.