Individual provider Active NPI

Benjamyn David Rowe

  • Behavior Analyst
  • Auburn, CA
National Provider Identifier
1760015416
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0000
Practice address
416 Auburn Folsom Rd
Auburn, CA 95603-5515
Phone
(530) 786-7050
NPI assigned
Feb 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 0000 Primary

Addresses

Primary practice location

416 Auburn Folsom Rd
Auburn, CA 95603-5515

Mailing address

15318 Highway 20
Nevada City, CA 95959-9188
Phone (707) 498-5336

Other practice location 1

15318 Highway 20
Nevada City, CA 95959-9188
Phone (707) 498-5336

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1760015416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15318 HIGHWAY 20",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599188",
            "telephone_number": "707-498-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 AUBURN FOLSOM RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035515",
            "telephone_number": "530-786-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15318 Highway 20",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959599188",
            "country_code": "US",
            "telephone_number": "707-498-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "BENJAMYN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.