Active NPI
Melisa Osborne
- Behavior Technician
- Fairfield, CA
National Provider Identifier
1376028282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 744 Empire St
Fairfield, CA 94533-5562 - Phone
- (707) 339-9413
- NPI assigned
- Sep 26, 2018
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
744 Empire St
Fairfield, CA 94533-5562
Mailing address
2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538
Other practice location 1
2820 Shadelands Dr Ste 200
Walnut Creek, CA 94598-2525
Phone (925) 266-8400
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": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1376028282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DR BLDG 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335562",
"telephone_number": "707-339-9413"
}
],
"practiceLocations": [
{
"address_1": "2820 Shadelands Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945982525",
"country_code": "US",
"telephone_number": "925-266-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "MELISA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.