Active NPI
Julie Lynn Hall
- Behavior Analyst
- Tracy, CA
National Provider Identifier
1477066678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30980
- Practice address
- 510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119 - Phone
- (209) 832-7756
- NPI assigned
- Nov 9, 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 | 1-18-30980 | CA | Primary |
Addresses
Primary practice location
510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119
Mailing address
651 S Stockton Ave
Ripon, CA 95366-2749
Phone (209) 649-8962
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 |
|---|---|---|---|
| Joyful Impact ABA, Inc. | Behavior Analyst | Current | Accepting new patients |
| Therapeutic Pathways, Inc. | Past | Accepting new patients |
Locations
651 S Stockton Ave
Ripon, CA 95366
Phone (209) 557-7466
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Ripon, CA
- NPI 1275210460
Behavior Analyst
-
- Early Intervention Provider Agency
- Modesto, CA
- NPI 1962638486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1477066678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 S STOCKTON AVE",
"city": "RIPON",
"state": "CA",
"postal_code": "953662749",
"telephone_number": "209-649-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WHISPERING WIND DR STE 110",
"city": "TRACY",
"state": "CA",
"postal_code": "953778119",
"telephone_number": "209-832-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JULIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-30980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.