NPIMap

Organization Active NPI

Square One

  • Behavior Analyst
  • Rancho Cordova, CA
National Provider Identifier
1124391404
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SQUARE ONE
Practice address
3195 Zinfandel Dr
BLDG G Ste 21
Rancho Cordova, CA 95670-6376
Phone
(916) 690-6985
Fax
(916) 731-5576
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Ms. Laurie McKinnieNPI 1942705389
Title
Owner
Phone
(916) 690-6985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3195 Zinfandel Dr
BLDG G Ste 21
Rancho Cordova, CA 95670-6376

Mailing address

3195 Zinfandel Dr
BLDG G Ste 21
Rancho Cordova, CA 95670-6376
Phone (916) 690-6985

National Provider Directory

National Provider Directory

Locations

3195 Zinfandel Dr
Ste 21
Rancho Cordova, CA 95670
Phone (916) 606-2756

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1124391404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 ZINFANDEL DR",
            "address_2": "BLDG G STE 21",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706376",
            "telephone_number": "916-690-6985",
            "fax_number": "916-731-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 ZINFANDEL DR",
            "address_2": "BLDG G STE 21",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706376",
            "telephone_number": "916-690-6985",
            "fax_number": "916-731-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNIE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-690-6985",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.