IndividualActive
Deejay Fannon
NPI 1588410500 · Behavior Technician · Modesto, CA
Deejay Fannon is a Behavior Technician provider in Modesto, CA (NPI 1588410500).
Provider details
- NPI number
- 1588410500
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3001 Coffee Rd Ste 1
Modesto, CA 95355-1764
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Additional practice locations (1)
- 1101 Standiford Ave Ste A1Modesto, CA 95350-0981Phone: (855) 223-7123
Registry dates
- Enumerated
- 2024-04-29
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Deejay Fannon's NPI number?
- Deejay Fannon's National Provider Identifier (NPI) is 1588410500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deejay Fannon's specialty?
- Deejay Fannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Deejay Fannon located?
- Deejay Fannon's practice location on file with NPPES is 3001 Coffee Rd Ste 1, Modesto, CA 95355-1764.
- What is Deejay Fannon's phone number?
- The practice phone number listed in the NPPES registry for Deejay Fannon is (855) 223-7123.
- Is Deejay Fannon's NPI active?
- Yes — Deejay Fannon's NPI (1588410500) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.