Laura Addison Dba Addison Behavioral Resources

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-05-2114

Legal business name

LAURA ADDISON DBA ADDISON BEHAVIORAL RESOURCES

Practice address

266 Mobil Ave
Suite 209
Camarillo, CA 93010-6328

Phone

(805) 383-5566

Fax

(888) 659-0031

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Laura R. Addison, PHD, BCBA

Title

Ceo

Phone

(805) 383-5566

Specialties & licenses 2

Addresses

Other names 1

• Addison Behavioral Resources Doing business as

Locations

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1780918102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MOBIL AVE",
            "address_2": "SUITE 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106328",
            "telephone_number": "805-383-5566",
            "fax_number": "888-659-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MOBIL AVE",
            "address_2": "SUITE 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106328",
            "telephone_number": "805-383-5566",
            "fax_number": "888-659-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA ADDISON DBA ADDISON BEHAVIORAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-383-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2114",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "PSY 22059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Behavioral Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.