Isiah Sisneros Edward Sisneros

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7339 N 1St St Ste 105&110
Fresno, CA 93720-2954

Phone

(916) 729-3006

Fax

(916) 780-0119

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1982108437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S ARGYLE AVE APT 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274405",
            "telephone_number": "916-729-3008",
            "fax_number": "916-780-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 N 1ST ST STE 105&110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202954",
            "telephone_number": "916-729-3006",
            "fax_number": "916-780-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISNEROS",
        "first_name": "ISIAH SISNEROS",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalvin K Sirisukarn
• David Sironen
• Jeremiah David Sisco-Asencio II
• Megan Sisk
• William Wade Sisk, LVN
• Brandi Sisneroz
• Kulwant Singh Sisodia, DDS
• Manisha Sisodia, D.D.S.
• Angelica Faith Sison, AMFT
• Desiree Sison, O.D.

• Behavior Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.