Organization Active NPI

Randall Jay Benefield

Doing business as On Your Way Behavior Solutions

  • Behavior Analyst
  • Petaluma, CA
National Provider Identifier
1790492304
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RANDALL JAY BENEFIELD
Doing business as
On Your Way Behavior Solutions
Practice address
921 Transport Way
Petaluma, CA 94954-1461
Phone
(707) 478-8697
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Randy Benefield
Title
Owner
Phone
(707) 478-8697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

921 Transport Way
Petaluma, CA 94954-1461

Mailing address

3188 Rocklin Dr
Santa Rosa, CA 95405-7035
Phone (707) 478-8697

Other names 1

  • On Your Way Behavior Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

921 Transport Way
Petaluma, CA 94954
Phone (707) 478-8697

Practitioners & affiliated clinicians

Practitioners 1

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1790492304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 ROCKLIN DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057035",
            "telephone_number": "707-478-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 TRANSPORT WAY",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541461",
            "telephone_number": "707-478-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL JAY BENEFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BENEFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-478-8697"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On Your Way Behavior Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.