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
- 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 and National Provider Directory roles.
-
- Behavior Analyst
- Monterey, CA
- NPI 1306202940
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.