Organization Active NPI

Behavior Learning and Development Group, LLC

  • Behavior Analyst
  • Valley Springs, CA
National Provider Identifier
1558225896
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR LEARNING AND DEVELOPMENT GROUP, LLC
Practice address
1906 Vista del Lago Dr Ste I
Valley Springs, CA 95252-9700
Phone
(209) 268-0868
Fax
(209) 254-7900
NPI assigned
Dec 11, 2025
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Theresa Marie Benavidez, BCBANPI 1821530551
Title
Co-Owner
Phone
(915) 249-0365

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 Analyst 103K00000X Primary

Addresses

Primary practice location

1906 Vista del Lago Dr Ste I
Valley Springs, CA 95252-9700

Mailing address

PO Box 279
Mountain Ranch, CA 95246-0279
Phone (209) 268-0868

National Provider Directory

National Provider Directory

Locations

1906 Vista del Lago Dr
Ste I
Valley Springs, CA 95252
Phone (209) 268-0868

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1558225896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "MOUNTAIN RANCH",
            "state": "CA",
            "postal_code": "952460279",
            "telephone_number": "209-268-0868",
            "fax_number": "209-254-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 VISTA DEL LAGO DR STE I",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529700",
            "telephone_number": "209-268-0868",
            "fax_number": "209-254-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR LEARNING AND DEVELOPMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "915-249-0365",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.