NPIMap

Organization Active NPI

Beyou Behavior Therapy SPC

Doing business as Beyou Behavior Therapy

  • Behavior Analyst
  • Antioch, CA
National Provider Identifier
1225887490
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEYOU BEHAVIOR THERAPY SPC
Doing business as
Beyou Behavior Therapy
Practice address
5616 Howell Mountain LN
Antioch, CA 94531-6212
Phone
(949) 241-7961
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Mrs. Mariana Bolzani Greub
Title
Ceo
Phone
(510) 604-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5616 Howell Mountain LN
Antioch, CA 94531-6212

Mailing address

5616 Howell Mountain LN
Antioch, CA 94531-6212
Phone (949) 241-7961

Other names 1

  • BEYOU BEHAVIOR THERAPY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1225887490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 HOWELL MOUNTAIN LN",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316212",
            "telephone_number": "949-241-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 HOWELL MOUNTAIN LN",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316212",
            "telephone_number": "949-241-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOU BEHAVIOR THERAPY SPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BOLZANI GREUB",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-604-6520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEYOU BEHAVIOR THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEYOU BEHAVIOR THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.