Capsheaf Behavioral Institute, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CAPSHEAF BEHAVIORAL INSTITUTE, LLC

Practice address

9126 Quincy Ave
Hesperia, CA 92345-6438

Phone

(888) 557-1305

Fax

(888) 557-1305

NPI assigned

Jan 1, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Amesha Corine Smith, BCBA

Title

Executive Director/Ceo

Phone

(888) 557-1305

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451606400000",
    "number": "1760848022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 QUINCY AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456438",
            "telephone_number": "888-557-1305",
            "fax_number": "888-557-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 QUINCY AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456438",
            "telephone_number": "888-557-1305",
            "fax_number": "888-557-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSHEAF BEHAVIORAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMESHA",
        "authorized_official_middle_name": "CORINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "888-557-1305",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hesperia, CA
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• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; 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.