NPIMap

Organization Active NPI

Meaningful Change Learning Services, LLC

  • Behavior Analyst
  • Santa Fe, NM
National Provider Identifier
1548623812
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-21909 Issued in NM
Legal business name
MEANINGFUL CHANGE LEARNING SERVICES, LLC
Practice address
2892 Pueblo Bonito
Santa Fe, NM 87507-2549
Phone
(508) 733-6392
NPI assigned
Apr 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Shane Knoll, BCBANPI 1023471976
Title
Ceo
Phone
(508) 665-8044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-16-21909 NM Primary

Addresses

Primary practice location

2892 Pueblo Bonito
Santa Fe, NM 87507-2549

Mailing address

2892 Pueblo Bonito
Santa Fe, NM 87507-2549

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1548623812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2892 PUEBLO BONITO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2892 PUEBLO BONITO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072549",
            "telephone_number": "508-733-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEANINGFUL CHANGE LEARNING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-665-8044",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-16-21909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.