NPIMap

Organization Active NPI

Essential Behavioral Development LLC

  • Behavior Analyst
  • Peoria, AZ
National Provider Identifier
1558847996
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000093 Issued in AZ
Legal business name
ESSENTIAL BEHAVIORAL DEVELOPMENT LLC
Practice address
21973 N 102ND LN Lot 410
Peoria, AZ 85383-2693
Phone
(623) 330-6874
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Michelle Downie, MBA, MED, BCBANPI 1568804045
Title
Owner and Bcba
Phone
(623) 330-6874

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 BEH-000093 AZ Primary

Addresses

Primary practice location

21973 N 102ND LN Lot 410
Peoria, AZ 85383-2693

Mailing address

21973 N 102ND LN Lot 410
Peoria, AZ 85383-2693
Phone (623) 330-6874

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": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1558847996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21973 N 102ND LN LOT 410",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832693",
            "telephone_number": "623-330-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21973 N 102ND LN LOT 410",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832693",
            "telephone_number": "623-330-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL BEHAVIORAL DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "DOWNIE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND BCBA",
        "authorized_official_telephone_number": "623-330-6874",
        "authorized_official_credential": "MBA, MED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.