ANDREA TATUM
NPI 1689338493
Behavior Technician in Stockton, CA

Active since October 27, 2021
28 W LANCASTER DR, STOCKTON, CA 95207(510) 359-3316 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Tatum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA TATUM (NPI 1689338493) is an individual behavior technician in Stockton, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1689338493
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameANDREA TATUM
Location Address28 W LANCASTER DRStockton, CA 95207-5702
Mailing Address2291 W March Ln # B103Stockton, CA 95207-6652 · (916) 729-3098
Sole ProprietorYes
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1689338493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
28 W LANCASTER DR, Stockton, CA 95207

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 Andrea Tatum's NPI number?

The NPI number for Andrea Tatum is 1689338493. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Andrea Tatum located?

Andrea Tatum practices at 28 W Lancaster Dr, Stockton, CA 95207. The listed phone number is (510) 359-3316.

What is Andrea Tatum'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 Andrea Tatum was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.