Prime Autism Service LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PRIME AUTISM SERVICE LLC

Practice address

7036 El Cajon Blvd Ste C
San Diego, CA 92115-1824

Phone

(858) 345-7137

NPI assigned

Apr 2, 2026

Last updated

Apr 2, 2026By 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

Mahmudali Abdullahi Libanhidig, LIBANHIDIG

Title

Ceo

Phone

(858) 345-7137

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1356282339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 EL CAJON BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151824",
            "telephone_number": "858-345-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7036 EL CAJON BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151824",
            "telephone_number": "858-345-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME AUTISM SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LIBANHIDIG",
        "authorized_official_first_name": "MAHMUDALI",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-345-7137",
        "authorized_official_credential": "LIBANHIDIG"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Prieto, M.ED., BCBA
• Tracie Prieto, CATC-III
• Daniel Ray Prigmore, PHARMD
• Kristiana Rose Cruz Prijoles
• Primary Care Health Network LLC (Integrated Health Partners)
• Prime Chiropractic Group
• Prime Healthcare Paradise Valley Hospital (Prime ALLY Program)
• Kniesha Renee Primes, MSW
• Mikayla Primmer
• Adam Franklin Prince, PA

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.