Deandrah Allen
Individual provider Active NPI Behavior Technician · Napa, CA
NPI 1952174302 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1952174302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3419 Valle Verde Dr
Napa, CA 94558-2414 - Phone
- (707) 299-8250
- Fax
- (707) 635-8215
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3419 Valle Verde Dr
Napa, CA 94558-2414
Mailing address
3419 Valle Verde Dr
Napa, CA 94558-2414
Phone (707) 299-8250
NPI Registry JSON
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1952174302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 VALLE VERDE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945582414",
"telephone_number": "707-299-8250",
"fax_number": "707-635-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 VALLE VERDE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945582414",
"telephone_number": "707-299-8250",
"fax_number": "707-635-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DEANDRAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
- Ashwak Ali
- Saeeda Ali
- Jennifer Cruz Alicbusan
- Allan Ringard, DDS, Inc
- Ayana Allen
- Kayla E. Allen
- Natasha Marie Allen
- Shukura Allen
- Jesse Ryan Allured
- Ariana Almaraz
All providers in Napa, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.