NPIMap

Organization Active NPI

Behavior Frontiers, LLC

  • Behavior Analyst
  • Campbell, CA
National Provider Identifier
1053734012
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10446 Issued in CA
Legal business name
BEHAVIOR FRONTIERS, LLC
Practice address
1475 S Bascom Ave
Suite 203
Campbell, CA 95008-0624
Phone
(408) 835-0871
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Helen MaderNPI 1740597012
Title
Executive Director
Phone
(310) 856-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-12-10446 CA Primary

Addresses

Primary practice location

1475 S Bascom Ave
Suite 203
Campbell, CA 95008-0624

Mailing address

18726 S Western Ave
Suite 408
Gardena, CA 90248-3813
Phone (310) 856-0800

National Provider Directory

National Provider Directory
Tax ID family
Behavior Frontiers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18726 S Western Ave
Ste 408
Gardena, CA 90248
Phone (310) 205-7521

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1053734012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE",
            "address_2": "SUITE 408",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483813",
            "telephone_number": "310-856-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 S BASCOM AVE",
            "address_2": "SUITE 203",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080624",
            "telephone_number": "408-835-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR FRONTIERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "MADER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-856-0800"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.