Active NPI
Habita Behavioral Care
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1245901164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- HABITA BEHAVIORAL CARE
- Practice address
- 3636 Camino del Rio N
San Diego, CA 92108-1703 - Phone
- (619) 603-1410
- NPI assigned
- Sep 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Javier Sotomayor-Galindo, BCBA
- Title
- Clinical Director
- Phone
- (619) 603-1410
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3636 Camino del Rio N
San Diego, CA 92108-1703
Mailing address
3636 Camino del Rio N
San Diego, CA 92108-1703
Phone (619) 603-1410
Other names 1
- Habita Behavioral Care LLC
National Provider Directory
National Provider DirectoryLocations
3636 Camino del Rio N
San Diego, CA 92108
Phone (619) 603-1410
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- San Diego, CA
- NPI 1255712485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1245901164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 CAMINO DEL RIO N",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081703",
"telephone_number": "619-603-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 CAMINO DEL RIO N",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081703",
"telephone_number": "619-603-1410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HABITA BEHAVIORAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "SOTOMAYOR-GALINDO",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "619-603-1410",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Habita Behavioral Care LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.