David Dickey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17070 Walnut Village Pkwy Ste K
Fontana, CA 92336-3285

Phone

(909) 320-8300

NPI assigned

Mar 30, 2018

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Essentials to Behavior Management, Corp

  • Behavior Analyst
  • Rancho Cucamonga, CA
  • NPI 1639680481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1720584733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12179 LEIF ERICSON DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577724",
            "telephone_number": "951-567-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 WALNUT VILLAGE PKWY STE K",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363285",
            "telephone_number": "909-320-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachaell Diaz, DO
• Raquel Marisa Diaz
• Ricardo P. Diaz, MD
• Ryan Angel Diaz, PHARMACY TECHNICIAN
• Gary R. Dibble, MD
• Dignity Health Medical Foundation (Dignity Health Medical Network - Inland Empire)
• Abigail Dike, LVN
• Han Ngoc Dinh, D.O.
• James P Dinh, M.D.
• Albert F. Dinicola, M.D.

• Behavior Technician in Fontana, CA
• Providers in Fontana, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.