Active NPI
Julissa Plascencia Magana
- Behavior Technician
- Lodi, CA
National Provider Identifier
1740744218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 13042 N Jack Tone Rd
Lodi, CA 95240-9736 - Phone
- (209) 747-7800
- NPI assigned
- Jan 29, 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 | Primary |
Addresses
Primary practice location
13042 N Jack Tone Rd
Lodi, CA 95240-9736
Mailing address
3425 Coffee Rd Ste Ca
Modesto, CA 95355-1582
Phone (209) 521-4791
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 |
|---|---|---|---|
| Central Valley Autism Project, Inc. | Past | Accepting new patients | |
| Kadiant, LLC | 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.
-
- Behavior Analyst
- Riverbank, CA
- NPI 1700183803
-
- Behavior Analyst
- Oakland, CA
- NPI 1811547052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1740744218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 COFFEE RD STE CA",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551582",
"telephone_number": "209-521-4791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13042 N JACK TONE RD",
"city": "LODI",
"state": "CA",
"postal_code": "952409736",
"telephone_number": "209-747-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASCENCIA MAGANA",
"first_name": "JULISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.