NPIMap

Organization Active NPI

Inspired Behavioral Solutions, Inc.

  • Early Intervention Provider Agency
  • Manteca, CA
National Provider Identifier
1720484868
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1A-50-21 Issued in CA
Legal business name
INSPIRED BEHAVIORAL SOLUTIONS, INC.
Practice address
340 Mission Ridge Dr
Manteca, CA 95337-6884
Phone
(209) 549-6370
Fax
(209) 881-3414
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Mrs. Kimberley Jean Cassaretto, BCBA
Title
Owner/Director
Phone
(209) 549-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1A-50-21 CA Primary

Addresses

Primary practice location

340 Mission Ridge Dr
Manteca, CA 95337-6884

Mailing address

16925 Schell Rd
Knights Ferry, CA 95361-8705
Phone (209) 549-6370

National Provider Directory

National Provider Directory
Tax ID family
Inspired Behavioral Solutions Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1720484868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 SCHELL RD",
            "city": "KNIGHTS FERRY",
            "state": "CA",
            "postal_code": "953618705",
            "telephone_number": "209-549-6370",
            "fax_number": "209-881-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MISSION RIDGE DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376884",
            "telephone_number": "209-549-6370",
            "fax_number": "209-881-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED BEHAVIORAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "CASSARETTO",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "209-549-6370",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "1A-50-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.