Active NPI
Soar Behavioral Therapy Services
- Behavior Analyst
- Murrieta, CA
National Provider Identifier
1821546359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-21712
- Legal business name
- SOAR BEHAVIORAL THERAPY SERVICES
- Practice address
- 30804 Moonflower LN
Murrieta, CA 92563-7936 - Phone
- (951) 325-2585
- Fax
- (951) 325-7630
- NPI assigned
- Sep 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Dihel, BCBA
- Title
- Owner/Bcba Clinical Director
- Phone
- (630) 373-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-21712 | CA | Primary |
Addresses
Primary practice location
30804 Moonflower LN
Murrieta, CA 92563-7936
Mailing address
30804 Moonflower LN
Murrieta, CA 92563-7936
Phone (951) 325-2585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473724800000",
"number": "1821546359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30804 MOONFLOWER LN",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925637936",
"telephone_number": "951-325-2585",
"fax_number": "951-325-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30804 MOONFLOWER LN",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925637936",
"telephone_number": "951-325-2585",
"fax_number": "951-325-7630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOAR BEHAVIORAL THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A",
"authorized_official_last_name": "DIHEL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER/BCBA CLINICAL DIRECTOR",
"authorized_official_telephone_number": "630-373-4999",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-21712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.