Katie Camille Deck

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12777 Valley View St Ste 121
Garden Grove, CA 92845-2521

Phone

(714) 337-6484

Fax

(855) 213-2184

NPI assigned

Oct 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Autism Collaborative Group

  • Behavior Analyst
  • Garden Grove, CA
  • NPI 1962064998
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1962224865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 121",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452521",
            "telephone_number": "714-337-6484",
            "fax_number": "855-213-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 121",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452521",
            "telephone_number": "714-337-6484",
            "fax_number": "855-213-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "KATIE",
        "middle_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie De Ocampo
• Joao Vitor De Oliveira
• Jonathan Abraham De Santiago
• Manuel Deanda
• George M Debbaneh, D.D.S,
• Marion Deduyo
• Angela Degroot
• Sophia Dehmer
• Teresa Jacqueline Del Barba
• Cristine Que Del Mundo

• Behavior Technician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.