Stephannie Chavez

Key facts

NPI

1366928541

Entity type

Individual (NPI type 1)

Primary specialty

Assistant Behavior Analyst 106E00000X

Practice address

1620 Colorado Ave
Turlock, CA 95382-2713

Phone

(209) 667-2273

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2018.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1366928541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 BRENTWOOD CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014266",
            "telephone_number": "209-678-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822713",
            "telephone_number": "209-667-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "STEPHANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Turlock, CA · Assistant Behavior Analyst in California