Individual provider Active NPI

Joseph Palmeira, BCBA

  • Behavior Analyst
  • San Bernardino, CA
National Provider Identifier
1427582675
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25159 Issued in CA
Practice address
4856 Villlage Green Way
San Bernardino, CA 92407-2923
Phone
(909) 965-1077
NPI assigned
Apr 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-25159 CA Primary

Addresses

Primary practice location

4856 Villlage Green Way
San Bernardino, CA 92407-2923

Mailing address

4856 Villlage Green Way
San Bernardino, CA 92407-2923

Other practice location 1

16465 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1242
Phone (909) 244-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Autism and Education LLC Behavior Analyst CurrentSince Dec 8, 2024 Accepting new patients
Anthony Benigno, PSYD., Psychological Services, PC PastSince May 12, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1427582675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 VILLLAGE GREEN WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 VILLLAGE GREEN WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072923",
            "telephone_number": "909-965-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16465 Sierra Lakes Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361242",
            "country_code": "US",
            "telephone_number": "909-244-9593",
            "fax_number": "833-903-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMEIRA",
        "first_name": "JOSEPH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.