Active NPI
Adonia Palacio
- Behavior Technician
- Cupertino, CA
National Provider Identifier
1396394474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-61712
- Practice address
- 1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358 - Phone
- (669) 210-0301
- NPI assigned
- Sep 10, 2019
- Last updated
- Jul 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-61712 | CA | Primary |
Addresses
Primary practice location
1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358
Mailing address
2314 Augusta PL
Santa Clara, CA 95051-1718
Phone (951) 553-9735
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 |
|---|---|---|---|
| RBT-18-61712 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1396394474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 AUGUSTA PL",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950511718",
"telephone_number": "951-553-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S DE ANZA BLVD STE 110",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950145358",
"telephone_number": "669-210-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIO",
"first_name": "ADONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-61712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.