Active NPI
Hali Peck
- Behavior Technician
- Santa Ana, CA
National Provider Identifier
1508352741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 10010
- Practice address
- 2080 N Tustin Ave Ste B
Santa Ana, CA 92705-7875 - Phone
- (855) 581-0100
- NPI assigned
- Jul 10, 2018
- 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 | 10010 | CA | Primary |
Addresses
Primary practice location
2080 N Tustin Ave Ste B
Santa Ana, CA 92705-7875
Mailing address
1467 Ford St Ste 104
Redlands, CA 92373-3911
Phone (909) 307-6902
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 |
|---|---|---|---|
| 10010 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1508352741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 FORD ST STE 104",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733911",
"telephone_number": "909-307-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 N TUSTIN AVE STE B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927057875",
"telephone_number": "855-581-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "HALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "10010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.