Active NPI
Cortney Welch
- Behavior Technician
- Willows, CA
National Provider Identifier
1942340955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB557221
- Practice address
- 242 N Villa Ave
Willows, CA 95988-2641 - Phone
- (530) 934-6582
- Fax
- (530) 934-6592
- NPI assigned
- Feb 7, 2007
- 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 | BACB557221 | IN | Primary |
Addresses
Primary practice location
242 N Villa Ave
Willows, CA 95988-2641
Mailing address
834 S Taft Ave
Indianapolis, IN 46241-2417
Phone (530) 966-1652
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB557221 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1942340955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 S TAFT AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462412417",
"telephone_number": "530-966-1652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 N VILLA AVE",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882641",
"telephone_number": "530-934-6582",
"fax_number": "530-934-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "CORTNEY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "BACB557221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willows, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.