Carlos Alvarado
Individual provider Active NPI Behavior Technician · Tracy, CA
NPI 1972269090 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1972269090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 106S00000X (CA)
- Practice address
- 510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119 - Phone
- (209) 832-7756
- NPI assigned
- Nov 12, 2021
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | CA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | CA | Yes |
Addresses
Primary practice location
510 Whispering Wind Dr Ste 110
Tracy, CA 95377-8119
Mailing address
PO Box 5157
Modesto, CA 95352-5157
NPI Registry JSON
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1972269090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5157",
"city": "MODESTO",
"state": "CA",
"postal_code": "953525157"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "106S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
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- Linnet Alvarado
- Xitlalyt Alvarez Garcia
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All providers in Tracy, 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 12, 2021. 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.