Active NPI
Sadiq Locus
- Behavior Technician
- Media, PA
National Provider Identifier
1720546385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 600 N Jackson St Ste 203
Media, PA 19063-2574 - Phone
- (484) 444-2285
- NPI assigned
- Mar 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-35788 | PA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
600 N Jackson St Ste 203
Media, PA 19063-2574
Mailing address
PO Box 20503
Lehigh Valley, PA 18002-0503
Phone (484) 335-6100
Other practice location 1
4443 Circle Dr
Bethlehem, PA 18020-9607
Phone (610) 570-2326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-19-35788 | Other | PA | BACB |
| RBT-15-03063 | Other | BACB REGISTRATION NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preparing Individuals Today for Tomorrow LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Bethlehem, PA
- NPI 1932752375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1720546385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20503",
"city": "LEHIGH VALLEY",
"state": "PA",
"postal_code": "180020503",
"telephone_number": "484-335-6100",
"fax_number": "484-335-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N JACKSON ST STE 203",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632574",
"telephone_number": "484-444-2285"
}
],
"practiceLocations": [
{
"address_1": "4443 Circle Dr",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180209607",
"country_code": "US",
"telephone_number": "610-570-2326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCUS",
"first_name": "SADIQ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-03",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-19-35788",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-19-35788",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB REGISTRATION NUMBER",
"identifier": "RBT-15-03063",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.