Denise Icasas
Individual provider Active NPI Behavior Technician · Lathrop, CA
NPI 1730004854 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1730004854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 561 Carnaby Rd
Lathrop, CA 95330-8876 - Phone
- (510) 962-2384
- NPI assigned
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
561 Carnaby Rd
Lathrop, CA 95330-8876
Mailing address
561 Carnaby Rd
Lathrop, CA 95330-8876
Phone (510) 962-2384
Other providers in Lathrop, CA
- Jamie Harris
- Doreatia Lelin Hart
- Sayeda Hashimi
- Health Services Foundation
- Minneh Wanjiru Hinga
- Japneet S Dhillon DDS Inc
- Olivia Jimenez
- Jasmin Joshan
- Harrison Wallace Jow
- Kamarakay Services LLC
All providers in Lathrop, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.