Active NPI
Julieann Manzanilla
- Behavior Technician
- Vacaville, CA
National Provider Identifier
1336744556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21160746
- Practice address
- 161 Butcher Rd Ste B
Vacaville, CA 95687-5685 - Phone
- (707) 305-1118
- NPI assigned
- Dec 3, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | 21160746 | CA | Primary |
Addresses
Primary practice location
161 Butcher Rd Ste B
Vacaville, CA 95687-5685
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345
Other practice location 1
801 Jefferson St Ste 4
Fairfield, CA 94533-5557
Phone (707) 720-3869
Other practice location 2
3700 Hilborn Rd Ste 950
Fairfield, CA 94534-7999
Phone (707) 639-1138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21160746 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfield, CA
- NPI 1083219521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1336744556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 BUTCHER RD STE B",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875685",
"telephone_number": "707-305-1118"
}
],
"practiceLocations": [
{
"address_1": "801 Jefferson St Ste 4",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945335557",
"country_code": "US",
"telephone_number": "707-720-3869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 Hilborn Rd Ste 950",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945347999",
"country_code": "US",
"telephone_number": "707-639-1138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANZANILLA",
"first_name": "JULIEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "21160746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.