NPIMap

Organization Active NPI

Avid ABA Services

  • Community/Behavioral Health Agency
  • Escondido, CA
National Provider Identifier
1205370806
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AVID ABA SERVICES
Practice address
562 W Grand Ave
Escondido, CA 92025-2502
Phone
(760) 691-9622
Fax
(760) 797-1845
NPI assigned
Dec 15, 2016
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Sarai MarcelinNPI 1649788787
Title
Officer
Phone
(760) 691-9622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

562 W Grand Ave
Escondido, CA 92025-2502

Mailing address

562 W Grand Ave
Escondido, CA 92025-2502
Phone (760) 691-9622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1205370806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-691-9622",
            "fax_number": "760-797-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-691-9622",
            "fax_number": "760-797-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "MARCELIN",
        "authorized_official_first_name": "SARAI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "760-691-9622"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.