Individual provider Active NPI

Carl Bunday, BCAT

  • Behavior Technician
  • Northridge, CA
National Provider Identifier
1528705928
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
00016443 Issued in CA
Practice address
9335 Reseda Blvd Unit 101
Northridge, CA 91324
Phone
(818) 960-0633
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00016443 CA Primary

Addresses

Primary practice location

9335 Reseda Blvd Unit 101
Northridge, CA 91324

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Phone (469) 694-1754

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

State licenses

LicenseStateTypeSpecialty
00016443CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism & Related Disorders, LLC CurrentSince May 22, 2022 Accepting new patients

Locations

5850 Granite Pkwy
Ste 600
Plano, TX 75024
Phone (442) 325-3819

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1528705928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246753",
            "telephone_number": "469-694-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9335 RESEDA BLVD UNIT 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-960-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDAY",
        "first_name": "CARL",
        "credential": "BCAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00016443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.