Active NPI
Sarah Adoline Collard
- Behavior Technician
- Clovis, CA
National Provider Identifier
1669064556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F7715090
- Practice address
- 5037 Amber Ave
Clovis, CA 93619-9402 - Phone
- (559) 593-6693
- NPI assigned
- Feb 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | F7715090 | CA | Primary |
Addresses
Primary practice location
5037 Amber Ave
Clovis, CA 93619-9402
Mailing address
1420 Shaw Ave Ste 105
Clovis, CA 93611-4072
Phone (559) 593-6693
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7715090 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1669064556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 SHAW AVE STE 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114072",
"telephone_number": "559-593-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5037 AMBER AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936199402",
"telephone_number": "559-593-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLARD",
"first_name": "SARAH",
"middle_name": "ADOLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F7715090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.