Organization Active NPI

Associated Behavior Consultants, LLC

  • Behavior Analyst
  • Palm Springs, CA
National Provider Identifier
1477867059
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1106767 Issued in CA
Legal business name
ASSOCIATED BEHAVIOR CONSULTANTS, LLC
Practice address
901 E Tahquitz Canyon Way
Suite A201
Palm Springs, CA 92262-6757
Phone
(760) 537-0212
Fax
(760) 778-7709
NPI assigned
Aug 5, 2010
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. JM Evosevich, PH.D., LMFT, BCBA
Title
Executive Director Admin SVCS
Phone
(760) 537-0212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1106767 CA Primary

Addresses

Primary practice location

901 E Tahquitz Canyon Way
Suite A201
Palm Springs, CA 92262-6757

Mailing address

901 E Tahquitz Canyon Way
Suite A201
Palm Springs, CA 92262-6757
Phone (760) 537-0212

National Provider Directory

National Provider Directory

Locations

901 E Tahquitz Canyon Way
Ste A201
Palm Springs, CA 92262
Phone (760) 206-8017

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1477867059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE A201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626757",
            "telephone_number": "760-537-0212",
            "fax_number": "760-778-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE A201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626757",
            "telephone_number": "760-537-0212",
            "fax_number": "760-778-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED BEHAVIOR CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "EVOSEVICH",
        "authorized_official_first_name": "JM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR ADMIN SVCS",
        "authorized_official_telephone_number": "760-537-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1106767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.