NPIMap

Organization Active NPI

1St Step Applied Behavior Analysts, Inc.

  • Behavior Analyst
  • Cameron Park, CA
National Provider Identifier
1053770461
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
1ST STEP APPLIED BEHAVIOR ANALYSTS, INC.
Practice address
3222 Royal Dr
Suite C
Cameron Park, CA 95682-8556
Phone
(530) 387-7544
Fax
(530) 677-5443
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mrs. Kathryn Denise Van Den Berg, M.ED., BCBANPI 1104128362
Title
President
Phone
(530) 387-7544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3222 Royal Dr
Suite C
Cameron Park, CA 95682-8556

Mailing address

PO Box 2000
Shingle Springs, CA 95682-2000
Phone (530) 387-7544

Other names 1

  • 1st Step ABA Other name

National Provider Directory

National Provider Directory
Tax ID family
1St Step ABA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3222 Royal Dr
Ste C
Cameron Park, CA 95682
Phone (530) 387-7544

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1053770461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956822000",
            "telephone_number": "530-387-7544",
            "fax_number": "530-677-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 ROYAL DR",
            "address_2": "SUITE C",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828556",
            "telephone_number": "530-387-7544",
            "fax_number": "530-677-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST STEP APPLIED BEHAVIOR ANALYSTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "VAN DEN BERG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-387-7544",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Step ABA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.