Bradly Pool

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

21801 Cactus Ave Ste a
March Air Reserve Base, CA 92518-3020

Phone

(909) 533-0193

Fax

(855) 621-9293

NPI assigned

Nov 9, 2018

Last updated

May 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shaping Pathways

  • Community/Behavioral Health Agency
  • March Air Reserve Base, CA
  • NPI 1679041495
  NPD Authorized official

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1568930212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9969 BOURBON CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21801 CACTUS AVE STE A",
            "city": "MARCH AIR RESERVE BASE",
            "state": "CA",
            "postal_code": "925183020",
            "telephone_number": "909-533-0193",
            "fax_number": "855-621-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "BRADLY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estefania Mendoza
• Rosa Mollineda
• Sandra Mone
• Jennifer Phuong-Vy Ngo, DO
• Tiara Norwood
• Zoe Nicole Porter
• Blanca Sarai Reyes
• Anna Enid Sanchez de Ramirez
• Brianna Nicole Sandoval
• Camilla Schell

• Behavior Analyst in March Air Reserve Base, CA
• Providers in March Air Reserve Base, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.