Organization Active NPI

Ibh Institute for Behavioral Health

  • Behavior Analyst
  • Colton, CA
National Provider Identifier
1215300348
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IBH INSTITUTE FOR BEHAVIORAL HEALTH
Practice address
933 Fairway Dr
#203
Colton, CA 92324-3135
Phone
(909) 665-5339
NPI assigned
Nov 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Lynn Green
Title
Case Supervisor
Phone
(909) 665-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

933 Fairway Dr
#203
Colton, CA 92324-3135

Mailing address

933 Fairway Dr
#203
Colton, CA 92324-3135
Phone (909) 665-5339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1215300348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 FAIRWAY DR",
            "address_2": "#203",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243135",
            "telephone_number": "909-665-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FAIRWAY DR",
            "address_2": "#203",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243135",
            "telephone_number": "909-665-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBH INSTITUTE FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CASE SUPERVISOR",
        "authorized_official_telephone_number": "909-665-5339"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.