Living Well BCS Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVING WELL BCS INC

Practice address

510 Chabot Ave
Modesto, CA 95354-0233

Phone

(209) 968-9080

NPI assigned

Feb 21, 2013

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Lynn MiklusicakNPI 1851632186

Title

Director

Phone

(209) 968-9080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristi Lynn Miklusicak, M.A., B.I.C.M.

  • Behavior Analyst
  • Modesto, CA
  • NPI 1851632186
  NPD (past) Authorized official

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1700126158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHABOT AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540233",
            "telephone_number": "209-968-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHABOT AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540233",
            "telephone_number": "209-968-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL BCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "MIKLUSICAK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-968-9080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsang Pin Liu, D.M.D
• Ying Liu, MD
• Liv & Eve Inc. (Lice Clinics of America)
• Maud E Liva, M.D.
• Livermore Medical Supply (Live-More Medical Supplies)
• Maria Marissa De Leon Liwag, MD
• Betsua Lizama, BA
• Pricilla Lizama
• Jennifer Lizarraga
• Alexandra Marie Lizon

• Community/Behavioral Health Agency in Modesto, CA
• Providers in Modesto, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.