Organization Active NPI

Behavioral Consultation Services of Northern Arizona

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
National Provider Identifier
1699910877
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA
Practice address
906 W University Ave
Suite 120
Flagstaff, AZ 86001-2986
Phone
(928) 522-3780
Fax
(928) 526-2119
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Andrew Gardner, PHD, BCBA-D
Title
Director of Services
Phone
(928) 522-3780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

906 W University Ave
Suite 120
Flagstaff, AZ 86001-2986

Mailing address

906 W University Ave
Suite 120
Flagstaff, AZ 86001-2986
Phone (928) 522-3780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1699910877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012986",
            "telephone_number": "928-522-3780",
            "fax_number": "928-526-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012986",
            "telephone_number": "928-522-3780",
            "fax_number": "928-526-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "928-522-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.