Active NPI
Theodore Roosevelt McNair, MA, BCBA
- Behavior Analyst
- Sacramento, CA
National Provider Identifier
1649524398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-12585
- Practice address
- 4540 Harlin Dr
Sacramento, CA 95826-9716 - Phone
- (916) 264-7800
- NPI assigned
- Nov 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12585 | CA | Primary |
Addresses
Primary practice location
4540 Harlin Dr
Sacramento, CA 95826-9716
Mailing address
2221 22ND St Apt C
Sacramento, CA 95818-1757
Phone (209) 256-1850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1649524398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 22ND ST APT C",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958181757",
"telephone_number": "209-256-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 HARLIN DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958269716",
"telephone_number": "916-264-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAIR",
"first_name": "THEODORE",
"middle_name": "ROOSEVELT",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-12-12585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.