Active NPI
Daniele Phyllicia Mayberry
- Adult Companion
- Citrus Heights, CA
National Provider Identifier
1699246231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 7697 Madison Ave
Citrus Heights, CA 95610-7516 - Phone
- (279) 233-4848
- NPI assigned
- Dec 7, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | D7607406 | CA | |
| Adult Companion | 372600000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
7697 Madison Ave
Citrus Heights, CA 95610-7516
Mailing address
4980 Hillsdale Cir Ste a
El Dorado Hills, CA 95762-5726
Phone (916) 607-5913
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 |
|---|---|---|---|
| D7607406 | CA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1699246231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 HILLSDALE CIR STE A",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957625726",
"telephone_number": "916-607-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7697 MADISON AVE",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107516",
"telephone_number": "279-233-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "DANIELE",
"middle_name": "PHYLLICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "D7607406",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.