Clinical Behavior Analysis, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-02-0855 Issued in TX

Legal business name

CLINICAL BEHAVIOR ANALYSIS, LLC

Practice address

10615 Perrin Beitel Rd
Suite #801
San Antonio, TX 78217-3138

Phone

(210) 865-7734

Fax

(512) 524-8044

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Jason Neel Simmons, BCBA

Title

Board Certified Behavior Analyst

Phone

(210) 865-7734

Specialties & licenses 1

Addresses

Other names 1

• Behavior Analysts of Texas, LLC Other name

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1841360583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 KNIGHT ROBIN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093534",
            "telephone_number": "210-865-7734",
            "fax_number": "210-657-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD",
            "address_2": "SUITE #801",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173138",
            "telephone_number": "210-865-7734",
            "fax_number": "512-524-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL BEHAVIOR ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "NEEL",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "210-865-7734",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-02-0855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Analysts of Texas, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.