360 Behavioral Health, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

360 BEHAVIORAL HEALTH, INC.

Practice address

2549 N Stokesberry PL
Meridian, ID 83646-1144

Phone

(208) 918-4665

NPI assigned

Sep 14, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Aptekman

Title

Vice President Finance/Accounting

Phone

(215) 605-2658

Specialties & licenses 1

Addresses

Locations

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.

• Autumn Rose Anderson

  • Behavior Technician
  • Meridian, ID
  • NPI 1770229544
  NPD
• Devin Berger

  • Behavior Analyst
  • Merdian, ID
  • NPI 1134696016
  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1497425300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144",
            "telephone_number": "208-918-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "APTEKMAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE/ACCOUNTING",
        "authorized_official_telephone_number": "215-605-2658"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Meridian, ID
• Providers in Meridian, ID by specialty
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.