DYLAN ANTHONY HACKETT-PROVENZANO
NPI 1063119741
Behavior Technician in Stockton, CA
About Dylan Anthony Hackett-provenzano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN ANTHONY HACKETT-PROVENZANO (NPI 1063119741) is an individual behavior technician in Stockton, California and active in the NPI registry since February 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dylan Hackett-provenzano's NPI number?
The NPI number for Dylan Hackett-provenzano is 1063119741. It was assigned to this individual provider in the NPPES registry on February 13, 2023.
Where is Dylan Hackett-provenzano located?
Dylan Hackett-provenzano practices at 1811 Grand Canal Blvd, Stockton, CA 95207. The listed phone number is (877) 418-2978.
What is Dylan Hackett-provenzano's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Dylan Hackett-provenzano was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.