Active NPI
Annemarie Joseph
- Behavior Analyst
- Stockton, CA
National Provider Identifier
1588330815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107 - Phone
- (209) 452-8996
- NPI assigned
- Aug 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Mailing address
530 Fairway Drive, Suite 101
Deerfield Beach, FL 33441-1817
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1588330815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 FAIRWAY DRIVE, SUITE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 GRAND CANAL BLVD STE 2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078107",
"telephone_number": "209-452-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ANNEMARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2022-08-18",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.