Patrice Selfridge Sisco

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

50243 Hangtree LN # a
Oakhurst, CA 93644-9767

Phone

(559) 917-8094

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1639641137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50243 HANGTREE LN # A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449767",
            "telephone_number": "559-917-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50243 HANGTREE LN # A",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449767",
            "telephone_number": "559-917-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISCO",
        "first_name": "PATRICE",
        "middle_name": "SELFRIDGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Schaffner, MD
• Niralee Rohit Shah, D.D.S.
• Herenia Shepherd, PPA
• Kam Shoatnanon
• Sierra Ambulance Service Inc.
• Julie Andrea Smith
• Brook Lynn Solomon, RN
• James E. Starnes, D.C.
• Jenifer Christine Strait
• Diana Beth Strimling, MA, MFT

• Assistant Behavior Analyst in Oakhurst, CA
• Providers in Oakhurst, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.