Active NPI
Machado Behavioral Consulting
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1780129270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-10466
- Legal business name
- MACHADO BEHAVIORAL CONSULTING
- Practice address
- 3136 Vancouver Ave
San Diego, CA 92104-4835 - Phone
- (619) 990-2611
- Fax
- (619) 900-7779
- NPI assigned
- Dec 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy J Machado, M.A., BCBA
- Title
- Owner
- Phone
- (619) 990-2611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-10466 | CA | Primary |
Addresses
Primary practice location
3136 Vancouver Ave
San Diego, CA 92104-4835
Mailing address
PO Box 633083
San Diego, CA 92163-3083
Phone (619) 990-2611
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1780129270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633083",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633083",
"telephone_number": "619-990-2611",
"fax_number": "619-900-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 VANCOUVER AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921044835",
"telephone_number": "619-990-2611",
"fax_number": "619-900-7779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACHADO BEHAVIORAL CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-20",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "MACHADO",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-990-2611",
"authorized_official_credential": "M.A., BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-12-10466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.