NPIMap

Organization Active NPI

Abw Creations, LLC

Doing business as Behavior Education and Management (BEAM)

  • Behavior Analyst
  • Larkspur, CA
National Provider Identifier
1235494659
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABW CREATIONS, LLC
Doing business as
Behavior Education and Management (BEAM)
Practice address
700 Larkspur Landing Cir
Suite 199
Larkspur, CA 94939-1715
Phone
(415) 295-1555
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Donald Wachelka, BCBANPI 1497000392
Title
Ceo
Phone
(415) 295-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

700 Larkspur Landing Cir
Suite 199
Larkspur, CA 94939-1715

Mailing address

700 Larkspur Landing Cir
Suite 199
Larkspur, CA 94939-1715
Phone (415) 295-1555

Other names 1

  • Behavior Education and Management (BEAM) Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1235494659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LARKSPUR LANDING CIR",
            "address_2": "SUITE 199",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391715",
            "telephone_number": "415-295-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LARKSPUR LANDING CIR",
            "address_2": "SUITE 199",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391715",
            "telephone_number": "415-295-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABW CREATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "WACHELKA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-295-1555",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Education and Management (BEAM)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.