Temecula Applied Behavior Analysis, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TEMECULA APPLIED BEHAVIOR ANALYSIS, LLC

Practice address

30650 Rancho California Rd Ste D406-139
Temecula, CA 92591-3215

Phone

(619) 787-3882

Fax

(619) 782-0710

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Shanna Dolan

Title

Credentialing Supervisor

Phone

(951) 259-4060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1689446221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD STE D406-139",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD STE D406-139",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913215",
            "telephone_number": "619-787-3882",
            "fax_number": "619-782-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA APPLIED BEHAVIOR ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "951-259-4060"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.