Beacon Autistic Spectrum Independence Center, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEACON AUTISTIC SPECTRUM INDEPENDENCE CENTER, INC.

Practice address

24 Centerpointe Dr
La Palma, CA 90623-1028

Phone

(714) 288-4200

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Cindy G Avalos, BCBA

Title

Clinical Case Supervisor

Phone

(714) 288-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1457769135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CENTERPOINTE DR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231028",
            "telephone_number": "714-288-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CENTERPOINTE DR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231028",
            "telephone_number": "714-288-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON AUTISTIC SPECTRUM INDEPENDENCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL CASE SUPERVISOR",
        "authorized_official_telephone_number": "714-288-4200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-13-13919",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Bernadette Barrientes
• Andrea Barrientos
• Jocelyn Barron
• Rosio Bautista-Resendiz
• Beacon Autistic Spectrum Independence Center- B.a.S.I.C.
• Cassandra Faith Beboso
• Bailey Marie Beckett
• Behrooz Ahmadi, M.D a Prof Corp
• Gabrielle E Bell
• Beneficial Hospice and Palliative Care

• All providers in La Palma, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.