Behavior Specialist Services Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BEHAVIOR SPECIALIST SERVICES INC

Practice address

5040 N Jenifer Ave
Covina, CA 91724-1042

Phone

(323) 712-1071

NPI assigned

Nov 14, 2022

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gilda Panales, BCBA

Title

Behavior Analyst

Phone

(323) 712-1071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1164130530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 N JENIFER AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241042",
            "telephone_number": "323-712-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 N JENIFER AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241042",
            "telephone_number": "323-712-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SPECIALIST SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "PANALES",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "323-712-1071",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Covina, CA
• Providers in Covina, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.