Individual provider Active NPI

Keith Ashley Dimatulac Lacuna

  • Behavior Analyst
  • Vacaville, CA
National Provider Identifier
1942151964
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
183 Butcher Rd Ste B
Vacaville, CA 95687-5691
Phone
(707) 724-6810
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CA Primary

Addresses

Primary practice location

183 Butcher Rd Ste B
Vacaville, CA 95687-5691

Mailing address

1373 Sonata Dr
Fairfield, CA 94534-3489

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": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1942151964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 SONATA DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BUTCHER RD STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875691",
            "telephone_number": "707-724-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACUNA",
        "first_name": "KEITH ASHLEY",
        "middle_name": "DIMATULAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.