Organization Active NPI

Transformative Behavioral Consultants, LLC

Doing business as Transformative Behavioral Consultants

  • Behavior Analyst
  • Corona, CA
National Provider Identifier
1659177830
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRANSFORMATIVE BEHAVIORAL CONSULTANTS, LLC
Doing business as
Transformative Behavioral Consultants
Practice address
2621 Green River Rd Ste 105-2093
Corona, CA 92882-7433
Phone
(562) 713-0401
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Jeannie Morrison, BCBANPI 1962805556
Title
Ceo
Phone
(562) 713-0401

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

2621 Green River Rd Ste 105-2093
Corona, CA 92882-7433

Mailing address

2621 Green River Rd Ste 105-2093
Corona, CA 92882-7433
Phone (562) 713-0401

Other names 1

  • Transformative Behavioral Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

2621 Green River Rd
Ste 1052093
Corona, CA 92882
Phone (562) 713-0401

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": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1659177830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 GREEN RIVER RD STE 105-2093",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827433",
            "telephone_number": "562-713-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 GREEN RIVER RD STE 105-2093",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827433",
            "telephone_number": "562-713-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE BEHAVIORAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-713-0401",
        "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": [
        {
            "organization_name": "Transformative Behavioral Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.