NPIMap

Organization Active NPI

Bridging Differences ABA

  • Behavior Analyst
  • Shingle Springs, CA
National Provider Identifier
1003374794
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRIDGING DIFFERENCES ABA
Practice address
7520 S Shingle Rd
Shingle Springs, CA 95682-8081
Phone
(530) 280-5531
Fax
(208) 518-1286
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Olson
Title
Administrative Director
Phone
(916) 280-4678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7520 S Shingle Rd
Shingle Springs, CA 95682-8081

Mailing address

7520 S Shingle Rd
Shingle Springs, CA 95682-8081
Phone (916) 280-5531

Other identifiers 1

IdentifierTypeStateIssuer
1285018002OtherCANPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1003374794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 S SHINGLE RD",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828081",
            "telephone_number": "916-280-5531",
            "fax_number": "208-518-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 S SHINGLE RD",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828081",
            "telephone_number": "530-280-5531",
            "fax_number": "208-518-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING DIFFERENCES ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "916-280-4678"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1285018002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shingle Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.