Active NPI
Sequoia Holyfield
- Behavior Technician
- Victorville, CA
National Provider Identifier
1790515849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 15490 Civic Dr Ste 103
Victorville, CA 92392-2382 - Phone
- (442) 327-9172
- NPI assigned
- Aug 5, 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
15490 Civic Dr Ste 103
Victorville, CA 92392-2382
Mailing address
11943 Poppy Rd
Adelanto, CA 92301-4900
Phone (760) 460-1751
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 |
|---|---|---|---|
| JFHS LLC | Current | Accepting new patients |
Locations
15490 Civic Dr
Ste 103
Victorville, CA 92392
Phone (442) 261-1745
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": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1790515849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11943 POPPY RD",
"city": "ADELANTO",
"state": "CA",
"postal_code": "923014900",
"telephone_number": "760-460-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15490 CIVIC DR STE 103",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922382",
"telephone_number": "442-327-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "SEQUOIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.