Active NPI
Michelle Hausman, BCBA
- Behavior Analyst
- Monterey, CA
National Provider Identifier
1477099604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25735
- Practice address
- 1900 Garden Rd Ste 280
Monterey, CA 93940-5374 - Phone
- (831) 220-0739
- Fax
- (407) 574-3091
- NPI assigned
- Jan 11, 2017
- Last updated
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-17-25735 | CA | Primary |
Addresses
Primary practice location
1900 Garden Rd Ste 280
Monterey, CA 93940-5374
Mailing address
2301 Maitland Center Pkwy Ste 240
Maitland, FL 32751-7415
Phone (407) 574-4629
Other practice location 1
2199 H Dela Rosa SR St
Soledad, CA 93960-3381
Phone (831) 223-4949
Other practice location 2
505 E Romie Ln Ste E
Salinas, CA 93901-4031
Phone (831) 244-0582 ext. 412
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@breakthroughbehavior.com | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Behavior, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1477099604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 MAITLAND CENTER PKWY STE 240",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517415",
"telephone_number": "407-574-4629",
"fax_number": "407-574-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GARDEN RD STE 280",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405374",
"telephone_number": "831-220-0739",
"fax_number": "407-574-3091"
}
],
"practiceLocations": [
{
"address_1": "2199 H Dela Rosa SR St",
"address_purpose": "LOCATION",
"city": "Soledad",
"state": "CA",
"postal_code": "939603381",
"country_code": "US",
"telephone_number": "831-223-4949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 E Romie Ln Ste E",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939014031",
"country_code": "US",
"telephone_number": "831-244-0582 x412",
"fax_number": "407-574-3091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSMAN",
"first_name": "MICHELLE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-25735",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@breakthroughbehavior.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2301 Maitland Center Pkwy Ste 240",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327517415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.