Active NPI
Angela Auclair
- Behavior Analyst
- Sacramento, CA
National Provider Identifier
1407388366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11938857
- Practice address
- 3031 C St
Sacramento, CA 95816-3326 - Phone
- (916) 442-2396
- Fax
- (916) 442-2525
- NPI assigned
- Mar 30, 2017
- 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 | 11938857 | CA | Primary |
Addresses
Primary practice location
3031 C St
Sacramento, CA 95816-3326
Mailing address
1658 Laguardia Circle
Lincoln, CA 95648
Phone (916) 812-4642
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 |
|---|---|---|---|
| 11938857 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1407388366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 LAGUARDIA CIRCLE",
"city": "LINCOLN",
"state": "CA",
"postal_code": "95648",
"telephone_number": "916-812-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 C ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958163326",
"telephone_number": "916-442-2396",
"fax_number": "916-442-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUCLAIR",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "11938857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.