Active NPI
Clayworks 4 Kids
- Behavior Analyst
- Anaheim, CA
National Provider Identifier
1093449555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CLAYWORKS 4 KIDS
- Practice address
- 2020 S Norma LN
Anaheim, CA 92802-3228 - Phone
- (949) 554-4062
- Fax
- (949) 203-6114
- NPI assigned
- Jul 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Fernandez, BCBA
- Title
- Board Certified Behavioral Analysis
- Phone
- (949) 554-4062
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
2020 S Norma LN
Anaheim, CA 92802-3228
Mailing address
2020 S Norma LN
Anaheim, CA 92802-3228
Phone (949) 554-4062
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Totaltherapy | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Rancho Santa Margarita, CA
- NPI 1750791844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1093449555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 S NORMA LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928023228",
"telephone_number": "949-554-4062",
"fax_number": "949-203-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 S NORMA LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928023228",
"telephone_number": "949-554-4062",
"fax_number": "949-203-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYWORKS 4 KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIORAL ANALYSIS",
"authorized_official_telephone_number": "949-554-4062",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Totaltherapy",
"affiliation": "N",
"endpointDescription": "Web based",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2020 S Norma Ln",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928023228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.