NPIMap

Organization Active NPI

Leading Behavioral Change LLC

  • Behavior Analyst
  • El Centro, CA
National Provider Identifier
1083375851
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LEADING BEHAVIORAL CHANGE LLC
Practice address
1724 Driftwood Dr
El Centro, CA 92243-4160
Phone
(760) 222-2283
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Mr. Martin Gabriel Lemus, BCBA
Title
Behavior Analyst
Phone
(760) 554-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1724 Driftwood Dr
El Centro, CA 92243-4160

Mailing address

1724 Driftwood Dr
El Centro, CA 92243-4160
Phone (760) 222-2283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1083375851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 DRIFTWOOD DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434160",
            "telephone_number": "760-222-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 DRIFTWOOD DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434160",
            "telephone_number": "760-222-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING BEHAVIORAL CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "LEMUS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "760-554-0366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.