Organization Active NPI

Behavioral Education Skill Treatment Center

  • Behavior Analyst
  • Irvine, CA
National Provider Identifier
1669956074
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORAL EDUCATION SKILL TREATMENT CENTER
Practice address
17802 Sky Park Cir Ste 105
Irvine, CA 92614-6405
Phone
(949) 202-0257
Fax
(949) 271-3741
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Jenny Peichen Lin, BCBA
Title
Owner
Phone
(626) 512-0627

Specialties & licenses 1

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

Addresses

Primary practice location

17802 Sky Park Cir Ste 105
Irvine, CA 92614-6405

Mailing address

867 Golden Prados Dr
Diamond Bar, CA 91765-1927
Phone (909) 802-6868

National Provider Directory

National Provider Directory

Locations

17802 Sky Park Cir
Ste 105
Irvine, CA 92614
Phone (949) 202-0257

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1669956074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 GOLDEN PRADOS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651927",
            "telephone_number": "909-802-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17802 SKY PARK CIR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146405",
            "telephone_number": "949-202-0257",
            "fax_number": "949-271-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL EDUCATION SKILL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "PEICHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-512-0627",
        "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 Irvine, CA

Sources for this page

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