Behavior Support for Autism Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEHAVIOR SUPPORT FOR AUTISM INC

Practice address

1761 Hotel Cir S Ste 111
San Diego, CA 92108-3318

Phone

(760) 215-1027

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jenessa TaengkaewNPI 1245628585

Title

ABA Supervisor/Director

Phone

(760) 215-1027

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenessa Taengkaew

  • Behavior Analyst
  • San Diego, CA
  • NPI 1245628585
  NPD Authorized official

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1184199366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "760-215-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SUPPORT FOR AUTISM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "TAENGKAEW",
        "authorized_official_first_name": "JENESSA",
        "authorized_official_title_or_position": "ABA SUPERVISOR/DIRECTOR",
        "authorized_official_telephone_number": "760-215-1027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.