NPIMap

Organization Active NPI

Optima Behavioral Consulting, LLC

  • Behavior Analyst
  • Tucson, AZ
National Provider Identifier
1629566351
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OPTIMA BEHAVIORAL CONSULTING, LLC
Practice address
1955 W Grant Rd Ste 180
Tucson, AZ 85745-1475
Phone
(844) 333-6642
Fax
(520) 333-3060
NPI assigned
Apr 27, 2018
Organization subpart
Yes
Parent organization
OPTIMA BEHAVIORAL CONSULTINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Arielle Kuzdal
Title
Administrative Manager
Phone
(520) 500-7505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1955 W Grant Rd Ste 180
Tucson, AZ 85745-1475

Mailing address

1955 W Grant Rd Ste 180
Tucson, AZ 85745-1475
Phone (844) 333-6642

National Provider Directory

National Provider Directory
Tax ID family
Optima Behavioral Consulting LLC2 organizations share this tax ID, including this one
Part of
Optima Behavioral Consulting LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1955 W Grant Rd
Ste 180
Tucson, AZ 85745
Phone (844) 333-6642

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1629566351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W GRANT RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451475",
            "telephone_number": "844-333-6642",
            "fax_number": "520-333-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W GRANT RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451475",
            "telephone_number": "844-333-6642",
            "fax_number": "520-333-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMA BEHAVIORAL CONSULTING",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "KUZDAL",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "520-500-7505"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.