Active NPI
Julianna Medina Vazquez
- Behavior Technician
- Phoenix, AZ
National Provider Identifier
1720848633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1817 N 7TH St
Phoenix, AZ 85006-2100 - Phone
- (602) 257-3755
- NPI assigned
- Mar 19, 2024
- 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 | Primary |
Addresses
Primary practice location
1817 N 7TH St
Phoenix, AZ 85006-2100
Mailing address
8301 N 103Rd Ave Lot 147
Peoria, AZ 85345-7462
Phone (480) 749-3836
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Elementary School District #1 | Past | Accepting new patients | |
| Phoenix Elementary School District #1 | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1013046556
-
- School Social Worker
- Phoenix, AZ
- NPI 1750595914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1720848633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 N 103RD AVE LOT 147",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853457462",
"telephone_number": "480-749-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062100",
"telephone_number": "602-257-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA VAZQUEZ",
"first_name": "JULIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.