Individual provider Active NPI

Dalanii Delacruz

  • Behavior Technician
  • Vallejo, CA
National Provider Identifier
1336703669
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
Y2788929 Issued in CA
Practice address
420 Annette Ave
Vallejo, CA 94591-6574
Phone
(415) 573-6181
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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 Y2788929 CA Primary

Addresses

Primary practice location

420 Annette Ave
Vallejo, CA 94591-6574

Mailing address

PO Box 4544
Hayward, CA 94540-4544
Phone (415) 573-6181

Other practice location 1

420 Annette Ave
Vallejo, CA 94591-6574
Phone (415) 573-6181

Other practice location 2

420 Annette Ave
Vallejo, CA 94591-6574
Phone (415) 573-6181

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
Y2788929CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1336703669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4544",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945404544",
            "telephone_number": "415-573-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ANNETTE AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916574",
            "telephone_number": "415-573-6181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Annette Ave",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945916574",
            "country_code": "US",
            "telephone_number": "415-573-6181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Annette Ave",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945916574",
            "country_code": "US",
            "telephone_number": "415-573-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "DALANII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y2788929",
            "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 Apr 22, 2019; 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.