Active NPI
Nicola Bogie, MS, BCBA
- Behavior Analyst
- Fountain Valley, CA
National Provider Identifier
1699006486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-5375
- Practice address
- 18350 Mount Langley St
#105
Fountain Valley, CA 92708-6900 - Phone
- (714) 965-2324
- Fax
- (714) 965-2684
- NPI assigned
- Jan 19, 2010
- 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 | 1-09-5375 | CA | Primary |
Addresses
Primary practice location
18350 Mount Langley St
#105
Fountain Valley, CA 92708-6900
Mailing address
18350 Mount Langley St
#105
Fountain Valley, CA 92708-6900
Phone (714) 965-2324
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1699006486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST",
"address_2": "#105",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086900",
"telephone_number": "714-965-2324",
"fax_number": "714-965-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST",
"address_2": "#105",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086900",
"telephone_number": "714-965-2324",
"fax_number": "714-965-2684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGIE",
"first_name": "NICOLA",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-09-5375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.