Maxinne David
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1104744572
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1104744572
- Entity type
- Individual (NPI-1)
- Name
- Maxinne David
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2026
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1987 Bonifacio StConcord, CA 94520-2189
Phone 925-640-1220
Mailing address
Po Box 393Concord, CA 94522-0393
Phone 925-640-1220
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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