Organization Active NPI

Precision Behavioral Consulting LLC

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1639856966
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRECISION BEHAVIORAL CONSULTING LLC
Practice address
993 E Wimpole Ave
Gilbert, AZ 85297-1947
Phone
(480) 250-2062
Fax
(833) 520-1551
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Karissa Glenn, BCBA
Title
Owner
Phone
(847) 504-6172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

993 E Wimpole Ave
Gilbert, AZ 85297-1947

Mailing address

993 E Wimpole Ave
Gilbert, AZ 85297-1947
Phone (480) 250-2062

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": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1639856966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 E WIMPOLE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971947",
            "telephone_number": "480-250-2062",
            "fax_number": "833-520-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 E WIMPOLE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971947",
            "telephone_number": "480-250-2062",
            "fax_number": "833-520-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION BEHAVIORAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-504-6172",
        "authorized_official_credential": "BCBA"
    },
    "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 Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.