Healthcare Provider Details

I. General information

NPI: 1639792617
Provider Name (Legal Business Name): SYDNEY CALENTTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY WAPPLER

II. Dates (important events)

Enumeration Date: 05/25/2020
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date: 08/22/2023
Reactivation Date: 09/06/2023

III. Provider practice location address

900 FORTRESS ST
CHICO CA
95973-9514
US

IV. Provider business mailing address

900 FORTRESS ST
CHICO CA
95973-9514
US

V. Phone/Fax

Practice location:
  • Phone: 916-693-6469
  • Fax:
Mailing address:
  • Phone: 916-693-6469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-83094
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: