Organization Active NPI

MLG Investment Group

Doing business as Increasing Desired Behaviors

  • Behavior Analyst
  • Murrieta, CA
National Provider Identifier
1710641527
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MLG INVESTMENT GROUP
Doing business as
Increasing Desired Behaviors
Practice address
28316 Triese St
Murrieta, CA 92563-4406
Phone
(951) 216-5653
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MLG INVESTMENT GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dominique Gary, BCBANPI 1245871086
Title
Chief Executive Officer
Phone
(951) 216-5653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

28316 Triese St
Murrieta, CA 92563-4406

Mailing address

28316 Triese St
Murrieta, CA 92563-4406
Phone (951) 216-5653

Other identifiers 1

IdentifierTypeStateIssuer
1245871086MedicaidCA

Other names 1

  • Increasing Desired Behaviors Doing business as

National Provider Directory

National Provider Directory
Part of
MLG Investment Group

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1710641527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28316 TRIESE ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634406",
            "telephone_number": "951-216-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28316 TRIESE ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634406",
            "telephone_number": "951-216-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLG INVESTMENT GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MLG INVESTMENT GROUP",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-216-5653",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245871086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Increasing Desired Behaviors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.