Active NPI
Lina Vilimas, MA, BCBA
- Behavior Analyst
- Petaluma, CA
National Provider Identifier
1245714542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28601
- Practice address
- 1670 Corporate Cir
Petaluma, CA 94954 - Phone
- (510) 398-9269
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-28601 | CA | Primary |
Addresses
Primary practice location
1670 Corporate Cir
Petaluma, CA 94954
Mailing address
2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538
Other practice location 1
160 Wikiup Dr
Santa Rosa, CA 95403-7775
Phone (707) 527-2328
Other practice location 2
1009 Kenmore Ln
Santa Rosa, CA 95407-6766
Phone (707) 527-2328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1245714542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DR BLDG 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CORPORATE CIR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "510-398-9269"
}
],
"practiceLocations": [
{
"address_1": "160 Wikiup Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954037775",
"country_code": "US",
"telephone_number": "707-527-2328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1009 Kenmore Ln",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954076766",
"country_code": "US",
"telephone_number": "707-527-2328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILIMAS",
"first_name": "LINA",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-28601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.