Tania Izquierdo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-20825 Issued in CA

Practice address

4600 Kietzke Lane BLDG. a Ste 103
Reno, NV 89502

Phone

(888) 512-2695

Fax

(916) 729-3006

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Sage Health Services, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1083087266
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1659737096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TUPELO DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211741",
            "telephone_number": "916-729-3098",
            "fax_number": "916-729-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LANE BLDG. A STE 103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "888-512-2695",
            "fax_number": "916-729-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "TANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-20825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Ivory
• Randall John Iwasiuk, D.D.S.
• Dana Iwrin
• Edith O Iwuajoku, CNA
• Roselia Izquierdo
• J&G Helping Hands LLC
• Jabel'S Place
• Stephen Lloyd Jachimowicz
• Edward Joseph Jack
• Hunter Jack

• Behavior Analyst in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.