NPIMap

Organization Active NPI

Addison Behavioral Resources, Inc.

  • Behavior Analyst
  • Camarillo, CA
National Provider Identifier
1114223765
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2114 Issued in NU
Legal business name
ADDISON BEHAVIORAL RESOURCES, INC.
Practice address
1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754
Phone
(888) 383-5566
Fax
(888) 659-0031
NPI assigned
Jan 31, 2011
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Dr. Laura R. Addison, PH.D, BCBA-DNPI 1306171830
Title
Exec. Director
Phone
(805) 383-5566

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)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 22059 CA
Behavior Analyst 103K00000X 1-05-2114 NU Primary

Addresses

Primary practice location

1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754

Mailing address

1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754
Phone (888) 383-5566

Other practice location 1

3001 Mission Oaks Blvd
Unit A
Camarillo, CA 93012-8710
Phone (888) 383-5566

National Provider Directory

National Provider Directory

Locations

1000 Paseo Camarillo
Ste 235
Camarillo, CA 93010
Phone (805) 383-5566

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1114223765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 235",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100754",
            "telephone_number": "888-383-5566",
            "fax_number": "888-659-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 235",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100754",
            "telephone_number": "888-383-5566",
            "fax_number": "888-659-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Mission Oaks Blvd",
            "address_2": "Unit A",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128710",
            "country_code": "US",
            "telephone_number": "888-383-5566",
            "fax_number": "888-659-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADDISON BEHAVIORAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "805-383-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 22059",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-05-2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.