Active NPI
Tiffany Wright
- Behavior Technician
- Sacramento, CA
National Provider Identifier
1639635139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697 - Phone
- (916) 632-1330
- NPI assigned
- Feb 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697
Mailing address
3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697
Phone (916) 632-1330
Other practice location 1
1050 Fulton Ave Ste 230
Sacramento, CA 95825-4299
Phone (916) 974-2599
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services Inc | 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.
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1144682766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1639635139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 BRADSHAW RD STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272697",
"telephone_number": "916-632-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3336 BRADSHAW RD STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272697",
"telephone_number": "916-632-1330"
}
],
"practiceLocations": [
{
"address_1": "1050 Fulton Ave Ste 230",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958254299",
"country_code": "US",
"telephone_number": "916-974-2599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Shequssa Hartwell Wright, PHARM D
- Stanley B. Wright, M.D.
- Suzanne Wright, BA
- Syreeta Wright
- Taylor A Wright
- Zachary David Wright, PHARMD
- Zakiyah Wright
- Wrightful Peace Therapy, Marriage and Family Counseling Corporation
- Wrightful Peace Therapy, Marriage and Family Counseling Corporation
- Aniah Paige Wristen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.