Active NPI
Joscelin Antonia Huerta
- Behavior Technician
- Tulare, CA
National Provider Identifier
1467117606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y1872225
- Practice address
- 160 N L St
Tulare, CA 93274-4114 - Phone
- (559) 837-1223
- NPI assigned
- Nov 2, 2021
- 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 | Y1872225 | CA | Primary |
Addresses
Primary practice location
160 N L St
Tulare, CA 93274-4114
Mailing address
1155 Hermosa Ave
Tulare, CA 93274-2681
Phone (559) 572-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90911039D21137 | Medicaid | CA |
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 |
|---|---|---|---|
| Y1872225 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1467117606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 HERMOSA AVE",
"city": "TULARE",
"state": "CA",
"postal_code": "932742681",
"telephone_number": "559-572-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N L ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932744114",
"telephone_number": "559-837-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTA",
"first_name": "JOSCELIN",
"middle_name": "ANTONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y1872225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90911039D21137",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.