Active NPI
Estephanie Huerta
- Behavior Technician
- Walnut Creek, CA
National Provider Identifier
1912534827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 800 S Broadway Ste 310
Walnut Creek, CA 94596-5218 - Phone
- (888) 531-8385
- NPI assigned
- Mar 23, 2020
- 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 | CA | Primary |
Addresses
Primary practice location
800 S Broadway Ste 310
Walnut Creek, CA 94596-5218
Mailing address
1832 Venice Dr
Concord, CA 94519-1425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y8461087 | Other | CA | NON-MEDICAID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ehuerta@goalsforautism.com | 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 |
|---|---|---|---|
| Goals for Autism, Inc. | Current | Accepting new patients | |
| Hope Grows Behavioral Health | Past | Accepting new patients |
Locations
800 S Broadway
Ste 310
Walnut Creek, CA 94596
Phone (925) 264-1902
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
- Walnut Creek, CA
- NPI 1366773012
-
- Community/Behavioral Health Agency
- Walnut Creek, CA
- NPI 1770142556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1912534827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 VENICE DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945191425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S BROADWAY STE 310",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965218",
"telephone_number": "888-531-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTA",
"first_name": "ESTEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-MEDICAID",
"identifier": "Y8461087",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ehuerta@goalsforautism.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 S Broadway Ste 310",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "945965218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.