Organization Active NPI

FGB Behavioral Consulting, LLC

  • Behavior Analyst
  • Twain Harte, CA
National Provider Identifier
1063303873
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FGB BEHAVIORAL CONSULTING, LLC
Practice address
20165 Fallen Leaf LN
Twain Harte, CA 95383-9401
Phone
(209) 996-0097
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Florencia Gentinetta Baldwin, BCBANPI 1639694839
Title
President
Phone
(209) 206-6398

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

20165 Fallen Leaf LN
Twain Harte, CA 95383-9401

Mailing address

20165 Fallen Leaf LN
Twain Harte, CA 95383-9401
Phone (209) 996-0097

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1063303873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20165 FALLEN LEAF LN",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "953839401",
            "telephone_number": "209-996-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20165 FALLEN LEAF LN",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "953839401",
            "telephone_number": "209-996-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FGB BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "FLORENCIA",
        "authorized_official_middle_name": "GENTINETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-206-6398",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twain Harte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.