NPIMap

Organization Active NPI

Bicc Central California

  • Behavior Analyst
  • Fresno, CA
National Provider Identifier
1619403235
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BICC CENTRAL CALIFORNIA
Practice address
1782 E Bullard Ave Ste 104
Fresno, CA 93710-5868
Phone
(559) 515-6485
Fax
(558) 447-1567
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Andrea MarshallNPI 1215491816
Title
Operations Manager
Phone
(559) 515-6485

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 Primary

Addresses

Primary practice location

1782 E Bullard Ave Ste 104
Fresno, CA 93710-5868

Mailing address

1782 E Bullard Ave Ste 104
Fresno, CA 93710-5868
Phone (559) 515-6485

National Provider Directory

National Provider Directory

Locations

1782 E Bullard Ave
Ste 104
Fresno, CA 93710
Phone (559) 515-6485

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1619403235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 E BULLARD AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105868",
            "telephone_number": "559-515-6485",
            "fax_number": "558-447-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 E BULLARD AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105868",
            "telephone_number": "559-515-6485",
            "fax_number": "558-447-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICC CENTRAL CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "559-515-6485"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.