Interact Behavior, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTERACT BEHAVIOR, LLC

Doing business as

Interact Behavior Consulting

Practice address

2340 Powell St
Suite 347
Emeryville, CA 94608-1738

Phone

(510) 306-1422

Fax

(855) 249-5322

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Krista Canon, B.C.B.A.

Title

Director

Phone

(510) 306-1422

Specialties & licenses 3

Addresses

Other names 1

• Interact Behavior Consulting Doing business as

Locations

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1154747236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 POWELL ST",
            "address_2": "SUITE 347",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 POWELL ST",
            "address_2": "SUITE 347",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081738",
            "telephone_number": "510-306-1422",
            "fax_number": "855-249-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACT BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "CANON",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-306-1422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interact Behavior Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.