Organization Active NPI

Center for Behavioral Excellence

  • Behavior Analyst
  • Rancho Cucamonga, CA
National Provider Identifier
1528524576
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.