Beyond Behavior Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEYOND BEHAVIOR THERAPY

Practice address

521 38TH Ave
Santa Cruz, CA 95062-5524

Phone

(952) 457-3963

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Kellie Bohlke, MS, BCBANPI 1578032629

Title

Behavior Analyst

Phone

(952) 457-3963

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kellie Bohlke, BCBA

  • Behavior Analyst
  • Santa Cruz, CA
  • NPI 1578032629
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1265259519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 38TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625524",
            "telephone_number": "952-457-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 38TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625524",
            "telephone_number": "952-457-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "BOHLKE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "952-457-3963",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Lizbeth Betancourt
• Norman Bruce Bettencourt, RPH
• Sherri R. Betz, P.T.
• Ruth Anne Beutler
• Jill Bewley, LAC
• Vatche Krikor Bezdikian, MD
• Neharika Bhardwaj, MD
• Neera Bhatnagar, LCSW
• Joydip Bhattacharya, D.O
• Upasna Bhuria, MD

• Behavior Analyst in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.