Marc Rosenberg, BCBA, MFTI

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18144 Issued in CA

Practice address

3030 Calle Frontera
San Clemente, CA 92673-3009

Phone

(818) 577-7586

NPI assigned

Nov 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1427454636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 HILLCREST DR APT A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241584",
            "telephone_number": "818-577-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CALLE FRONTERA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733009",
            "telephone_number": "818-577-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARC",
        "credential": "BCBA, MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-15",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "74661",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy O Roham, DO
• Lauren Michelle Rohrbaugh, MA, MFT
• Emmanuel Romero, LMFT
• Ronald Trosper DDS Inc
• Isabel Rosales, COTA/L
• Gary Lyn Rosenthal
• Emily Christine Ross
• Richard Charles Roth, D.C.
• Peter Morris Rothenberg, M.D.,M.A.
• Sharon Marie Roybal, LMFT

• Behavior Analyst in San Clemente, CA
• Providers in San Clemente, 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 1, 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.