Active NPI
Deshon Maurice Floyd
- Behavior Technician
- Rialto, CA
National Provider Identifier
1730891698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1142 W Buxton St
Rialto, CA 92377-8833 - Phone
- (909) 419-0967
- NPI assigned
- Dec 21, 2022
- Sex
- Male
- 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
1142 W Buxton St
Rialto, CA 92377-8833
Mailing address
1142 W Buxton St
Rialto, CA 92377-8833
Phone (909) 419-0967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92849561G | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mail.google.com/mail/u/0/#inbox | Direct |
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 |
|---|---|---|---|
| Aurora Behavioral Concepts Inc | Behavior Technician | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1730891698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 W BUXTON ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923778833",
"telephone_number": "909-419-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 W BUXTON ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923778833",
"telephone_number": "909-419-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "DESHON",
"middle_name": "MAURICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92849561G",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mail.google.com/mail/u/0/#inbox",
"affiliation": "N",
"endpointDescription": "Email Address Provided Works for this",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10128 Shinon Dr",
"city": "Rancho Cucamonga",
"state": "CA",
"country_code": "US",
"postal_code": "917374357",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.