Individual provider Active NPI

Caroline Campbell Hardman, M.S., BCBA

  • Behavior Analyst
  • Baldwin Park, CA
National Provider Identifier
1023528700
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27063 Issued in CA
Practice address
4435 Center St
Baldwin Park, CA 91706-2337
Phone
(330) 524-3849
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-27063 CA Primary

Addresses

Primary practice location

4435 Center St
Baldwin Park, CA 91706-2337

Mailing address

4435 Center St
Baldwin Park, CA 91706-2337

Other practice location 1

1901 W Pacific Ave
West Covina, CA 91790-2090
Phone (626) 389-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023528700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 CENTER ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 CENTER ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062337",
            "telephone_number": "330-524-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902090",
            "country_code": "US",
            "telephone_number": "626-389-9747",
            "fax_number": "626-337-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDMAN",
        "first_name": "CAROLINE",
        "middle_name": "CAMPBELL",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-27063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.