Active NPI
Deylanie Vongdeng
- Behavior Technician
- Lathrop, CA
National Provider Identifier
1902765167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 723 Claim Stake Ave
Lathrop, CA 95330-8851 - Phone
- (209) 395-5649
- NPI assigned
- Jan 21, 2026
- Last updated
- Jan 21, 2026
- 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 | NU | Primary |
Addresses
Primary practice location
723 Claim Stake Ave
Lathrop, CA 95330-8851
Mailing address
1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504
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": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1902765167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 CREEKSIDE RIDGE DR STE 280",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956783504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 CLAIM STAKE AVE",
"city": "LATHROP",
"state": "CA",
"postal_code": "953308851",
"telephone_number": "209-395-5649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONGDENG",
"first_name": "DEYLANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-21",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lathrop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.