Active NPI
Wayne Dallas Joint
- Behavior Technician
- Visalia, CA
National Provider Identifier
1649983073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5415 Avenida de Los Robles, Suite 102, Ca, 93291
Visalia, CA 93277 - Phone
- (559) 372-2009
- NPI assigned
- Dec 30, 2022
- 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 | Primary |
Addresses
Primary practice location
5415 Avenida de Los Robles, Suite 102, Ca, 93291
Visalia, CA 93277
Mailing address
7226 Sepulveda Blvd. Van Nuys, Ca 91405
Van Nuys, CA 91405
Phone (818) 235-1414
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": "1672358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1649983073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7226 SEPULVEDA BLVD. VAN NUYS, CA 91405",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-235-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 AVENIDA DE LOS ROBLES, SUITE 102, CA, 93291",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-372-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOINT",
"first_name": "WAYNE",
"middle_name": "DALLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-30",
"last_updated": "2022-12-30",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.