Active NPI
Leslie Patrice Jones
- Behavior Technician
- Stockton, CA
National Provider Identifier
1710549175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 37511587
- Practice address
- 10607 Hidden Grove Cir
Stockton, CA 95209-4222 - Phone
- (209) 326-7713
- NPI assigned
- Jul 5, 2019
- Sex
- Female
- 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 | 37511587 | TX | Primary |
Addresses
Primary practice location
10607 Hidden Grove Cir
Stockton, CA 95209-4222
Mailing address
10607 Hidden Grove Cir
Stockton, CA 95209-4222
Phone (209) 326-7713
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 |
|---|---|---|---|
| 37511587 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1710549175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10607 HIDDEN GROVE CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952094222",
"telephone_number": "209-326-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10607 HIDDEN GROVE CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952094222",
"telephone_number": "209-326-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LESLIE",
"middle_name": "PATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "37511587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.