Active NPI
Tamy Marie Wolk, MS
- Behavior Technician
- Modesto, CA
National Provider Identifier
1518508696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1-26-87521
- Practice address
- 2100 Standiford Ave
Modesto, CA 95350-6522 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Sep 30, 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 Technician | 106S00000X | 1-26-87521 | CA | Primary |
Addresses
Primary practice location
2100 Standiford Ave
Modesto, CA 95350-6522
Mailing address
2100 Standiford Ave
Modesto, CA 95350-6522
Phone (855) 832-6727
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770508800000",
"number": "1518508696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 STANDIFORD AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506522",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STANDIFORD AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506522",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "TAMY",
"middle_name": "MARIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2026-02-08",
"certification_date": "2026-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "1-26-87521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.