Educational & Behavioral Support Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EDUCATIONAL & BEHAVIORAL SUPPORT SERVICES, LLC

Practice address

13125 Clipper Drive
Victorville, CA 92395-5185

Phone

(760) 953-6500

NPI assigned

Nov 27, 2019

Last updated

Nov 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith E. Belton, BCBA-DNPI 1770904088

Title

Owner / Behavior Analysts

Phone

(760) 953-6500

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: kbelton@edbss.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Eric Belton, BCBA-D, LEP

  • Behavior Analyst
  • Ontario, CA
  • NPI 1770904088
  NPD Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1033755822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 BEAR VALLEY RD # B-534",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958320",
            "telephone_number": "760-953-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 CLIPPER DRIVE",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955185",
            "telephone_number": "760-953-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL & BEHAVIORAL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER / BEHAVIOR ANALYSTS",
        "authorized_official_telephone_number": "760-953-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kbelton@edbss.com",
            "affiliation": "N",
            "address_1": "13125 CLIPPER DRIVE",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923955185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexyss Echeverria
• Valerie Samantha Echeverria, RADT
• Ashley Eddy
• Edgard M Vera MD Inc
• Sharde Edgerson
• Jenna Marie Edwards
• Roland Edwards
• Tiffany Edwards
• Eec (Excelsior Charter School)
• Jazmin Eguiluz

• Behavior Analyst in Victorville, CA
• Providers in Victorville, 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 27, 2019; 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.