Trayce D Agnew
Behavior Technician in San Diego, California
1407403199- Practice location
- 501 W Broadway Ste 800, San Diego, CA 92101-3546
- Phone
- 877-418-2978
- Fax
- 866-500-2186
- Last updated
- February 27, 2026
Trayce Dylan Agnew is a Behavior Technician based in San Diego, CA. Trayce Dylan Agnew practices in San Diego, CA. The NPI Number for Trayce Dylan Agnew is 1407403199 and holds a License No. 24-374717 (CA). The current practice location address for Trayce Dylan Agnew is 501 W Broadway Ste 800, San Diego, CA 92101-3546 and can be reached out via phone at 877-418-2978 and via fax at 866-500-2186.
Provider Profile Details
- NPI Number
- 1407403199
- Provider Name
- Trayce Dylan Agnew
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 501 W Broadway Ste 800, San Diego, CA 92101-3546
- Phone Number
- 877-418-2978
- Fax Number
- 866-500-2186
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 19, 2019
- Last Update Date
- February 27, 2026
- Certification Date
- February 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 501 W Broadway Ste 800
San Diego, CA 92101-3546 - City
- San Diego
- State
- California
- Zip
- 92101-3546
- Phone Number
- 877-418-2978
- Fax Number
- 866-500-2186
Provider Business Mailing Address Details
- Address
- 350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834 - City
- Deerfield Beach
- State
- FL
- Zip
- 33441-1834
- Phone Number
- 877-418-2978
- Fax Number
- 866-500-2186
License Information
- License Number
- 24-374717
- License State
- CA
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near San Diego, CA
View all Behavior Technicians in San Diego →Frequently Asked Questions
What is the NPI number of Trayce D Agnew?
The NPI number of Trayce D Agnew is 1407403199. It was assigned on August 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Trayce D Agnew?
Trayce D Agnew is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in CA under license number 24-374717.
Where does Trayce D Agnew practice?
The practice location is 501 W Broadway Ste 800, San Diego, CA 92101-3546. The office can be reached at 877-418-2978 (phone) or 866-500-2186 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407403199 directly on the NPPES registry website.