Healthcare Provider Details

I. General information

NPI: 1053254144
Provider Name (Legal Business Name): JANIE BECK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40748 AUBERRY RD
AUBERRY CA
93602-9581
US

IV. Provider business mailing address

40748 AUBERRY RD
AUBERRY CA
93602-9581
US

V. Phone/Fax

Practice location:
  • Phone: 559-498-9075
  • Fax: 559-498-9075
Mailing address:
  • Phone: 559-498-9075
  • Fax: 559-498-9075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: