NPIMap

Organization Active NPI

Proof Positive ABA Therapies

  • Behavior Analyst
  • Costa Mesa, CA
National Provider Identifier
1366976003
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25523 Issued in CA
Legal business name
PROOF POSITIVE ABA THERAPIES
Practice address
1111 Baker St
Costa Mesa, CA 92626-4138
Phone
(949) 910-6767
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Brianne Guerra
Title
Credentialing Assistant
Phone
(818) 241-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-17-25523 CA Primary

Addresses

Primary practice location

1111 Baker St
Costa Mesa, CA 92626-4138

Mailing address

505 N Brand Blvd Ste 1000
Glendale, CA 91203-3924
Phone (818) 241-6780

National Provider Directory

National Provider Directory
Tax ID family
Proof Positive ABA Therapies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1366976003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD STE 1000",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033924",
            "telephone_number": "818-241-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264138",
            "telephone_number": "949-910-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROOF POSITIVE ABA THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
        "authorized_official_telephone_number": "818-241-6780"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.