Organization Active NPI

Machado Behavioral Consulting

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1780129270
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10466 Issued in CA
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

Updated by the provider on Mar 24, 2017

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.