Organization Active NPI

Soar Behavioral Therapy Services

  • Behavior Analyst
  • Murrieta, CA
National Provider Identifier
1821546359
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-21712 Issued in CA
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

Updated by the provider on Sep 13, 2016

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.