Prosocial Learning Group, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROSOCIAL LEARNING GROUP, LLC

Practice address

2730 Manresa Shore LN
Oakley, CA 94561-3543

Phone

(202) 903-4546

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brittany T Mazur, PHD, BCBA-DNPI 1205120755

Title

Owner

Phone

(202) 903-4546

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, and the practitioner matching its NPPES authorized official.

• Brittany T Mazur, PHD, BCBA-D

  • Behavior Analyst
  • Oakley, CA
  • NPI 1205120755
  NPD Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1316510175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 MANRESA SHORE LN",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945613543",
            "telephone_number": "202-903-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 MANRESA SHORE LN",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945613543",
            "telephone_number": "202-903-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOCIAL LEARNING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-903-4546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Pearson, RN
• John Lorenzo Galimba Penacerrada
• Vanessa Perez Ibarra
• Michelle Yvonne Poggensee, RD
• Vicki Ponticelli
• John Michael Pualengco
• Kandis R Purnell
• Peter Michael Radetic, D.C.
• Navid Rahman, PHARMACIST
• Alvena Iola Raiford-Smith

• Behavior Analyst in Oakley, CA
• Providers in Oakley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.