Active NPI
Trenton Avilla
- Behavior Analyst
- Merced, CA
National Provider Identifier
1851897177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-29719
- Practice address
- 632 W 13TH St
Merced, CA 95341-5908 - Phone
- (209) 381-6623
- NPI assigned
- Apr 4, 2018
- 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 Analyst | 103K00000X | 1-17-29719 | CA | Primary |
Addresses
Primary practice location
632 W 13TH St
Merced, CA 95341-5908
Mailing address
4701 Mt Bullion St
Denair, CA 95316-9374
Phone (209) 485-4576
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1851897177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 MT BULLION ST",
"city": "DENAIR",
"state": "CA",
"postal_code": "953169374",
"telephone_number": "209-485-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953415908",
"telephone_number": "209-381-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILLA",
"first_name": "TRENTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-29719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.