Institute for Behavioral Health

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INSTITUTE FOR BEHAVIORAL HEALTH

Practice address

12223 Custer St
Yucaipa, CA 92399-4450

Phone

(760) 590-5764

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Loni Jean Kirk

Title

Case Superivisor

Phone

(760) 590-5764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1205201209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 CUSTER ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994450",
            "telephone_number": "760-590-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12223 CUSTER ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994450",
            "telephone_number": "760-590-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "LONI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CASE SUPERIVISOR",
        "authorized_official_telephone_number": "760-590-5764"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.