Active NPI
Timiza Renee Farley
- Behavior Analyst
- Temecula, CA
National Provider Identifier
1407319031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35159
- Practice address
- 27268 Via Industria
Temecula, CA 92590 - Phone
- (951) 265-6504
- NPI assigned
- Apr 10, 2019
- 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 Analyst | 103K00000X | 1-19-35159 | CA | Primary |
Addresses
Primary practice location
27268 Via Industria
Temecula, CA 92590
Mailing address
27268 Via Industria
Temecula, CA 92590-3751
Other practice location 1
32824 Wolf Store Rd
Temecula, CA 92592-9672
Phone (951) 297-7460
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychcare, Inc. | Behavior Analyst | 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.
-
- Behavior Analyst
- Van Nuys, CA
- NPI 1811289150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1407319031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27268 VIA INDUSTRIA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27268 VIA INDUSTRIA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92590",
"telephone_number": "951-265-6504"
}
],
"practiceLocations": [
{
"address_1": "32824 Wolf Store Rd",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925929672",
"country_code": "US",
"telephone_number": "951-297-7460",
"fax_number": "951-302-6995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARLEY",
"first_name": "TIMIZA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-35159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.