Brian Bovino, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19856 Issued in CA

Practice address

3575 Kenyon St Ste 102
San Diego, CA 92110-5350

Phone

(619) 600-0683

NPI assigned

Oct 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• One Day Tomorrow, Inc

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1518309236
  NPD (past)
• The Family Guidance & Therapy Center of Southern California

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1780989301
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1699146472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 KENYON ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105350",
            "telephone_number": "619-600-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 KENYON ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105350",
            "telephone_number": "619-600-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVINO",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-19856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara R. Bouve, FNP - B.C.
• Michael Bouvet, M.D.
• Soraya Bouzida, DDS
• Jessica Megan Bova, IDC
• Ruth Gabriela Bovey
• Kathryn M Bovino, M.A., B.C.B.A.
• Danielle Boward, RD
• Brooklyn Bowcut, PA-S
• Anthony Quinn Bowden
• Kristen Nicole Bowden

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.