Jonas Macomber
Behavior Technician in Granite Bay, CA. Individual provider (NPI-1).
NPI number1669244232
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1669244232
- Entity type
- Individual (NPI-1)
- Name
- Jonas Macomber
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2023
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
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
4196 Douglas BlvdGranite Bay, CA 95746-5904
Phone 303-989-8169
Mailing address
4196 Douglas BlvdGranite Bay, CA 95746-5904
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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All 242 Behavior Technician providers in Granite Bay · All 511 providers in Granite Bay
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