Active NPI
Christian Blake Guary
- Behavior Technician
- Alameda, CA
National Provider Identifier
1588335970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1025 Atlantic Ave. Ste. 101 Alameda Ca, 94501
Alameda, CA 94501 - Phone
- (510) 268-8120
- NPI assigned
- Sep 24, 2021
- Last updated
- Apr 30, 2024
- Sex
- Male
- 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 | CA | Primary |
Addresses
Primary practice location
1025 Atlantic Ave. Ste. 101 Alameda Ca, 94501
Alameda, CA 94501
Mailing address
1025 Atlantic Ave. Ste. 101 Alameda Ca, 94501
Alameda, CA 94501
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": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1588335970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 ATLANTIC AVE. STE. 101 ALAMEDA CA, 94501",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "94501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 ATLANTIC AVE. STE. 101 ALAMEDA CA, 94501",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "94501",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARY",
"first_name": "CHRISTIAN",
"middle_name": "BLAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-24",
"last_updated": "2024-04-30",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.