Individual provider Active NPI

Julieann Manzanilla

  • Behavior Technician
  • Vacaville, CA
National Provider Identifier
1336744556
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21160746 Issued in CA
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

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
21160746CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation PastSince Dec 6, 2020 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": "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.

Verify at the official NPI Registry.