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NPI Code Detail

MEDICARE: TIANA LAMAYA DIXON

MEDICARE: TIANA LAMAYA DIXON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1821951492
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA LAMAYA DIXON
Provider Business Mailing Address
First Line : 1651 RESPONSE RD STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-5255
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1651 RESPONSE RD STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-5255
Country : US
Telephone Number : 916-974-2599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ TIANA LAMAYA DIXON ” Practice Location

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