Basil Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BASIL THERAPY

Practice address

1 Bluxome St Apt 411
San Francisco, CA 94107-5523

Phone

(630) 306-4136

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Mareiko Au, BCBANPI 1295008993

Title

Chief Operations Officer

Phone

(626) 354-3759

Specialties & licenses 1

Addresses

Other names 1

• TheraDriver Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mareiko Michelle Au

  • Behavior Analyst
  • Chicago, IL
  • NPI 1295008993
  NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1407696339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLUXOME ST APT 411",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941075523",
            "telephone_number": "630-306-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUXOME ST APT 411",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941075523",
            "telephone_number": "630-306-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "MAREIKO",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "626-354-3759",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraDriver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Bascombe, MD
• Justin Axl Gozo Bascug
• Allison Jean Basham, PA
• Hannah Bashevkin
• Michelle Bashton
• Sigmund Frederick Basilio
• Allison Leigh Baske, LCSW
• John Linwood Baskerville Jr.
• Alison Suzanne Baskin
• Billie Baskin, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.