Organization Active NPI

Autism Behavior Bridge LLC

  • Behavior Analyst
  • Roseville, CA
National Provider Identifier
1396530754
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM BEHAVIOR BRIDGE LLC
Practice address
2281 Lava Ridge CT Ste 200
Roseville, CA 95661-2805
Phone
(510) 200-6843
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Sabrina Qader
Title
Owner
Phone
(510) 200-6843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2281 Lava Ridge CT Ste 200
Roseville, CA 95661-2805

Mailing address

2281 Lava Ridge CT Ste 200
Roseville, CA 95661-2805
Phone (510) 200-6843

National Provider Directory

National Provider Directory

Locations

11501 Dublin Blvd
Ste 200
Dublin, CA 94568
Phone (415) 246-7901

1556 Fitzgerald Dr
Pinole, CA 94564
Phone (415) 254-6647

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1396530754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 LAVA RIDGE CT STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612805",
            "telephone_number": "510-200-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 LAVA RIDGE CT STE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612805",
            "telephone_number": "510-200-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR BRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "QADER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-200-6843"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.