Organization Active NPI

Paced Behavior, LLC

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1801224522
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PACED BEHAVIOR, LLC
Practice address
5215 Anemone
San Antonio, TX 78253-6372
Phone
(210) 702-0515
Fax
(210) 200-6056
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Berenice De la Cruz, PH.D., BCBA-D
Title
Executive Director
Phone
(210) 702-0515

Specialties & licenses 1

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

Addresses

Primary practice location

5215 Anemone
San Antonio, TX 78253-6372

Mailing address

5215 Anemone
San Antonio, TX 78253-6372
Phone (210) 702-0515

National Provider Directory

National Provider Directory
Tax ID family
Paced Behavior LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1801224522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 ANEMONE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536372",
            "telephone_number": "210-702-0515",
            "fax_number": "210-200-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 ANEMONE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536372",
            "telephone_number": "210-702-0515",
            "fax_number": "210-200-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACED BEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "BERENICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-702-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.