Windrose Behavior Directions

Key facts

NPI

1770839714

Entity type

Organization (NPI type 2)

Primary specialty

Behavior Analyst 103K00000X

License

12-10522

Legal business name

WINDROSE BEHAVIOR DIRECTIONS

Practice address

1916 Virazon Drive
La Habra Heights, CA 90631-7779

Phone

(562) 743-0701

Fax

(562) 691-0701

NPI assigned

Jul 27, 2012

Organization subpart

No

Authorized official

Name

Dr. Martha Sue Cook Klassen, PSYD

Title

Clinical Director

Phone

(562) 743-0701

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2012.

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1770839714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W WHITTIER BLVD # 202",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313623",
            "telephone_number": "562-734-0701",
            "fax_number": "562-691-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 VIRAZON DRIVE",
            "city": "LA HABRA HEIGHTS",
            "state": "CA",
            "postal_code": "906317779",
            "telephone_number": "562-743-0701",
            "fax_number": "562-691-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDROSE BEHAVIOR DIRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "COOK KLASSEN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "562-743-0701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "12-10522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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