NPIMap

Organization Active NPI

Bridging World Behavioral Services

  • Behavior Analyst
  • Ukiah, CA
National Provider Identifier
1285071720
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8681 Issued in CA
Legal business name
BRIDGING WORLD BEHAVIORAL SERVICES
Practice address
415 W Perkins St
Ukiah, CA 95482-4807
Phone
(707) 391-6400
Fax
(707) 634-1416
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Mr. Adam Bulbulia, M.S., B.C.B.A.
Title
Executive Director
Phone
(707) 391-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-11-8681 CA Primary

Addresses

Primary practice location

415 W Perkins St
Ukiah, CA 95482-4807

Mailing address

282 Gardens Ave
Ukiah, CA 95482-5305
Phone (707) 391-6400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1285071720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 GARDENS AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825305",
            "telephone_number": "707-391-6400",
            "fax_number": "707-634-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W PERKINS ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824807",
            "telephone_number": "707-391-6400",
            "fax_number": "707-634-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING WORLD BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "BULBULIA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-391-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-8681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.