Soar Behavior Services, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOAR BEHAVIOR SERVICES, INC.

Practice address

1764 E Commonwealth Ave
Unit 104
Fullerton, CA 92831-4818

Phone

(657) 217-0966

NPI assigned

May 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. James Matthews, EDS, MA, BCBA

Title

Clinical Director

Phone

(657) 217-0966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1013327774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4154",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928344154",
            "telephone_number": "657-217-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 E COMMONWEALTH AVE",
            "address_2": "UNIT 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314818",
            "telephone_number": "657-217-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR BEHAVIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-04",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "657-217-0966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EDS, MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malayshia Faye Sneed
• Darlene Snyder, PT, PCS
• James Clifton Snyder, DDS
• Africa S So, MD
• Noelle Madison Keh So
• Carlos Sobral, MD
• Eric Soderquist
• Renee M. Soderquist, RD
• Cheryl Lynne Sogbesan
• Julianna Chhorani Sok

• Behavior Analyst in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.