NPIMap

Organization Active NPI

Autism & Behavioral Interventions

  • Behavior Analyst
  • Anaheim, CA
National Provider Identifier
1780113761
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5222 Issued in CA
Legal business name
AUTISM & BEHAVIORAL INTERVENTIONS
Practice address
864 S Clementine St Ste a
Anaheim, CA 92805-4601
Phone
(714) 333-5670
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Maria Louisa SilangNPI 1255693560
Title
Clinical Director
Phone
(714) 333-5670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-09-5222 CA Primary

Addresses

Primary practice location

864 S Clementine St Ste a
Anaheim, CA 92805-4601

Mailing address

864 S Clementine St
Anaheim, CA 92805-4601
Phone (714) 333-5670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780113761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 S CLEMENTINE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054601",
            "telephone_number": "714-333-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 S CLEMENTINE ST STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054601",
            "telephone_number": "714-333-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM & BEHAVIORAL INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SILANG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOUISA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "714-333-5670"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.