Active NPI
Tina Clay
- Behavior Technician
- Vacaville, CA
National Provider Identifier
1538734694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB666793
- Practice address
- Teach Acquire Thrive
2010-A Harbison Dr. Ste 307
Vacaville, CA 95687 - Phone
- (707) 317-1517
- NPI assigned
- May 21, 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 | BACB666793 | CA | Primary |
Addresses
Primary practice location
Teach Acquire Thrive
2010-A Harbison Dr. Ste 307
Vacaville, CA 95687
Mailing address
1048 Boone CT
Vacaville, CA 95687-4695
Phone (707) 761-3307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 15, 2025 through Oct 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB666793 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Child and Family Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1538734694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 BOONE CT",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874695",
"telephone_number": "707-761-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TEACH ACQUIRE THRIVE",
"address_2": "2010-A HARBISON DR. STE 307",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "707-317-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "TINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB666793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.