Active NPI
Judith Santos, BCBA
- Behavior Analyst
- Colton, CA
National Provider Identifier
1033768015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12366127
- Practice address
- 1420 E Cooley Dr Ste 204
Colton, CA 92324-3953 - Phone
- (310) 388-7365
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12366127 | CA | Primary |
Addresses
Primary practice location
1420 E Cooley Dr Ste 204
Colton, CA 92324-3953
Mailing address
15335 Flagstaff St
La Puente, CA 91744-3809
Phone (626) 216-4784
Other practice location 1
15335 Flagstaff St.
La Puente, CA 91744
Phone (626) 216-4784
Other names 1
- Judith Macias
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12366127 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Learning Opportunities | Behavior Analyst | Current | Accepting new patients |
| Breaking Barriers Insititute LLC | Behavior Analyst | Current | Accepting new patients |
Locations
1420 E Cooley Dr
Ste 204
Colton, CA 92324
Phone (310) 388-7365
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- La Puente, CA
- NPI 1477328003
-
- Behavior Analyst
- Colton, CA
- NPI 1578173050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1033768015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15335 FLAGSTAFF ST",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917443809",
"telephone_number": "626-216-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 E COOLEY DR STE 204",
"city": "COLTON",
"state": "CA",
"postal_code": "923243953",
"telephone_number": "310-388-7365"
}
],
"practiceLocations": [
{
"address_1": "15335 Flagstaff St.",
"address_purpose": "LOCATION",
"city": "La Puente",
"state": "CA",
"postal_code": "91744",
"country_code": "US",
"telephone_number": "626-216-4784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "JUDITH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12366127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "MACIAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.