Individual provider Active NPI

Nicole Janise Onstad, BCBA 1-04-1919

  • Behavior Analyst
  • Laguna Niguel, CA
National Provider Identifier
1710223466
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1919 Issued in CA
Practice address
28241 Crown Valley Pkwy
F625
Laguna Niguel, CA 92677-4441
Phone
(949) 310-5517
Fax
(949) 297-4310
NPI assigned
Dec 28, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-04-1919 CA Primary

Addresses

Primary practice location

28241 Crown Valley Pkwy
F625
Laguna Niguel, CA 92677-4441

Mailing address

28241 Crown Valley Pkwy
F625
Laguna Niguel, CA 92677-4441
Phone (949) 310-5517

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

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1710223466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY",
            "address_2": "F625",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-310-5517",
            "fax_number": "949-297-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY",
            "address_2": "F625",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-310-5517",
            "fax_number": "949-297-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONSTAD",
        "first_name": "NICOLE",
        "middle_name": "JANISE",
        "name_prefix": "Ms.",
        "credential": "BCBA 1-04-1919",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-04-1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.