Individual provider Active NPI

Dalicia Thomasson

  • Behavior Technician
  • Walnut Creek, CA
National Provider Identifier
1710460860
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Phone
(510) 414-8801
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218

Mailing address

5100 Vista Grande Dr Apt 1417
Antioch, CA 94531-8548
Phone (510) 414-8801

Other practice location 1

5100 Vista Grande Dr Apt 1417
Antioch, CA 94531-8548
Phone (510) 414-8801

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1710460860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 VISTA GRANDE DR APT 1417",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318548",
            "telephone_number": "510-414-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BROADWAY STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965218",
            "telephone_number": "510-414-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Vista Grande Dr Apt 1417",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318548",
            "country_code": "US",
            "telephone_number": "510-414-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "DALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.