BX Technologies

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1084578 Issued in CA

Legal business name

BX TECHNOLOGIES

Doing business as

Spark Behavior Consulting

Practice address

11470 Sunrise Gold Cir Ste 7
Rancho Cordova, CA 95742-6541

Phone

(916) 526-0722

Fax

(855) 365-1125

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Ian Glen Wilson, BCBA

Title

Ceo

Phone

(916) 526-0722

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Spark Behavior Consulting Doing business as

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1538567334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 SUNRISE GOLD CIR STE 7",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426541",
            "telephone_number": "916-526-0722",
            "fax_number": "855-365-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 SUNRISE GOLD CIR STE 7",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426541",
            "telephone_number": "916-526-0722",
            "fax_number": "855-365-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BX TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-526-0722",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1084578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRENT NPI NUMBER (PERSONAL)",
            "identifier": "1568781615",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12421587",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Behavior Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L. Burns, MD
• Cheryl Maureen Burstiner, R.N., IBCLC
• Cherie Ann Buskirk, SUDCC
• Janet Bishop Butler, SUDRC 13612
• Rachel Butler
• C. S. Wu Psychological Professional Corporation
• Kasey Marie Cain, AU.D.
• California Home Health Care Group
• Thomas Callonea, DPT
• Calmed Evaluation Services, LLC

• Behavior Analyst in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.