NPIMap

Organization Active NPI

Laura Addison Dba Addison Behavioral Resources

Doing business as Addison Behavioral Resources

  • Behavior Analyst
  • Camarillo, CA
National Provider Identifier
1780918102
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2114
Legal business name
LAURA ADDISON DBA ADDISON BEHAVIORAL RESOURCES
Doing business as
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
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Dr. Laura R. Addison, PHD, BCBANPI 1306171830
Title
Ceo
Phone
(805) 383-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-05-2114 Primary
Early Intervention Provider Agency 252Y00000X PSY 22059 CA

Addresses

Primary practice location

266 Mobil Ave
Suite 209
Camarillo, CA 93010-6328

Mailing address

266 Mobil Ave
Suite 209
Camarillo, CA 93010-6328
Phone (805) 383-5566

Other names 1

  • Addison Behavioral Resources Doing business as

National Provider Directory

National Provider Directory

Locations

266 Mobil Ave
Ste 209
Camarillo, CA 93010
Phone (805) 383-5566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • 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.