Active NPI
Domonick Washington
- Behavior Technician
- Santa Clarita, CA
National Provider Identifier
1659977965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538 - Phone
- (661) 702-0166
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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
23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538
Mailing address
1120 E Lancaster Blvd
Lancaster, CA 93535-2754
Phone (132) 386-7227
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credintialing@appliedbehavior.com |
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": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1659977965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E LANCASTER BLVD",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935352754",
"telephone_number": "132-386-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23502 LYONS AVE STE 304A",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212538",
"telephone_number": "661-702-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "DOMONICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credintialing@appliedbehavior.com",
"affiliation": "N",
"address_1": "23502 Lyons Ave Ste 304A",
"city": "Santa Clarita",
"state": "CA",
"country_code": "US",
"postal_code": "913212538",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.