Active NPI
Jurell Ricardo Keys, RBT
- Behavior Technician
- Tracy, CA
National Provider Identifier
1962364109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1465340
- Practice address
- 510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119 - Phone
- (209) 832-7756
- Fax
- (209) 832-7942
- NPI assigned
- Nov 25, 2025
- Sex
- Male
- 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 | BACB1465340 | CA | Primary |
Addresses
Primary practice location
510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119
Mailing address
2157 Stalsburg Dr
Tracy, CA 95376-7008
Phone (209) 202-2673
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 |
|---|---|---|---|
| BACB1465340 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1962364109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 STALSBURG DR",
"city": "TRACY",
"state": "CA",
"postal_code": "953767008",
"telephone_number": "209-202-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WHISPERING WIND DR STE 110",
"city": "TRACY",
"state": "CA",
"postal_code": "953778119",
"telephone_number": "209-832-7756",
"fax_number": "209-832-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "JURELL",
"middle_name": "RICARDO",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB1465340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.