NPIMap

Organization Active NPI

Holdsambeck and Associates

  • Behavior Analyst
  • Santa Maria, CA
National Provider Identifier
1417346990
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-14-6249 Issued in CA
Legal business name
HOLDSAMBECK AND ASSOCIATES
Practice address
1112 S Broadway
Santa Maria, CA 93454-6608
Phone
(805) 979-9941
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Mr. Robert Holdsambeck, EDD, LCP, BCBA-D
Title
Owner
Phone
(805) 979-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-14-6249 CA Primary

Addresses

Primary practice location

1112 S Broadway
Santa Maria, CA 93454-6608

Mailing address

1112 S Broadway
Santa Maria, CA 93454-6608
Phone (805) 979-9941

National Provider Directory

National Provider Directory
Tax ID family
Achieve Behavior Change3 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.

Locations

1200 21st St
Ste A
Bakersfield, CA 93301
Phone (661) 631-8328

2342 Professional Pkwy
Ste 300
Santa Maria, CA 93455
Phone (949) 232-2321

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1417346990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546608",
            "telephone_number": "805-979-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546608",
            "telephone_number": "805-979-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDSAMBECK AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLDSAMBECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-979-9941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EDD, LCP, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-14-6249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.