Active NPI
Elizabeth Dewolf, BCBA
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1679814156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13183
- Practice address
- 3954 Murphy Canyon Rd
Suite D105
San Diego, CA 92123-4418 - Phone
- (858) 569-0056
- Fax
- (858) 569-4233
- NPI assigned
- Mar 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 1-13-13183 | CA | Primary |
Addresses
Primary practice location
3954 Murphy Canyon Rd
Suite D105
San Diego, CA 92123-4418
Mailing address
3954 Murphy Canyon Rd
Suite D105
San Diego, CA 92123-4418
Phone (858) 569-0056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003073156 | Other | CA | AEFCT COMPANY NPI# |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Behavior Centers, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Broomfield, CO
- NPI 1255003943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1679814156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3954 MURPHY CANYON RD",
"address_2": "SUITE D105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234418",
"telephone_number": "858-569-0056",
"fax_number": "858-569-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3954 MURPHY CANYON RD",
"address_2": "SUITE D105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234418",
"telephone_number": "858-569-0056",
"fax_number": "858-569-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWOLF",
"first_name": "ELIZABETH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-13-13183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AEFCT COMPANY NPI#",
"identifier": "1003073156",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.