NPIMap

Organization Active NPI

Applied Behavior Autism Center LLC

  • Behavior Analyst
  • Moreno Valley, CA
National Provider Identifier
1821623018
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
APPLIED BEHAVIOR AUTISM CENTER LLC
Practice address
24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529
Phone
(916) 869-2416
Fax
(512) 572-8647
NPI assigned
Mar 8, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Shamica Morton, M.S., BCBA, LBANPI 1093287153
Title
Owner
Phone
(916) 869-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Behavior Analyst 103K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529

Mailing address

5838 Toscana Trce
Round Rock, TX 78665-4402
Phone (916) 869-2416

Other practice location 1

5838 Toscana Trce
Round Rock, TX 78665-4402
Phone (916) 869-2416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1821623018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 TOSCANA TRCE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654402",
            "telephone_number": "916-869-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24081 SANDY GLADE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575529",
            "telephone_number": "916-869-2416",
            "fax_number": "512-572-8647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5838 Toscana Trce",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786654402",
            "country_code": "US",
            "telephone_number": "916-869-2416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPLIED BEHAVIOR AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "SHAMICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-869-2416",
        "authorized_official_credential": "M.S., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.