Active NPI
Center for Behavioral Excellence
- Behavior Analyst
- Rancho Cucamonga, CA
National Provider Identifier
1528524576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CENTER FOR BEHAVIORAL EXCELLENCE
- Practice address
- 13163 Stanton Dr
Rancho Cucamonga, CA 91739-9273 - Phone
- (909) 702-8092
- NPI assigned
- Feb 14, 2019
- Last updated
- Feb 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalilah P Condon, BCBA
- Title
- Owner
- Phone
- (909) 702-8092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
13163 Stanton Dr
Rancho Cucamonga, CA 91739-9273
Mailing address
13163 Stanton Dr
Rancho Cucamonga, CA 91739-9273
Phone (909) 702-8092
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550102400000",
"number": "1528524576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13163 STANTON DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917399273",
"telephone_number": "909-702-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13163 STANTON DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917399273",
"telephone_number": "909-702-8092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR BEHAVIORAL EXCELLENCE",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2019-02-14",
"status": "A",
"authorized_official_last_name": "CONDON",
"authorized_official_first_name": "KHALILAH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-702-8092",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.