Organization Active NPI

De Witt and Associates Behavior Services Inc

  • Behavior Analyst
  • Pinole, CA
National Provider Identifier
1851042956
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DE WITT AND ASSOCIATES BEHAVIOR SERVICES INC
Practice address
2801 Pinole Valley Rd Ste 208
Pinole, CA 94564-1464
Phone
(510) 558-8786
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Juvencio Vela
Title
Executive Director Ceo/President
Phone
(510) 558-8786

Specialties & licenses 1

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

Addresses

Primary practice location

2801 Pinole Valley Rd Ste 208
Pinole, CA 94564-1464

Mailing address

2801 Pinole Valley Rd Ste 208
Pinole, CA 94564-1464
Phone (510) 558-8786

Other practice location 1

2801 Pinole Valley Road Suite 208
Pinole, CA 94564
Phone (510) 558-8786

Other practice location 2

2099 S State College Blvd Ste 360
Anaheim, CA 92806-0193
Phone (510) 558-8786

Other practice location 3

25 Mitchell Blvd Ste 8
San Rafael, CA 94903-2013
Phone (510) 558-8786

Other practice location 4

1375 Burlingame Ave Ste L1
Burlingame, CA 94010-4131
Phone (510) 558-8786

Other names 1

  • DABS Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

2099 S State College Blvd
Ste 360
Anaheim, CA 92806
Phone (510) 558-8786

1375 Burlingame Ave
Ste L1
Burlingame, CA 94010
Phone (510) 558-8786

2801 Pinole Valley Rd
Ste 208
Pinole, CA 94564
Phone (510) 558-8786

25 Mitchell Blvd
Ste 8
San Rafael, CA 94903
Phone (415) 472-2343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1851042956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PINOLE VALLEY RD STE 208",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641464",
            "telephone_number": "510-558-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PINOLE VALLEY RD STE 208",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641464",
            "telephone_number": "510-558-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Pinole Valley Road Suite 208",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "94564",
            "country_code": "US",
            "telephone_number": "510-558-8786",
            "fax_number": "510-662-1246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2099 S State College Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928060193",
            "country_code": "US",
            "telephone_number": "510-558-8786",
            "fax_number": "510-662-1246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Mitchell Blvd Ste 8",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949032013",
            "country_code": "US",
            "telephone_number": "510-558-8786",
            "fax_number": "510-662-1246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 Burlingame Ave Ste L1",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104131",
            "country_code": "US",
            "telephone_number": "510-558-8786",
            "fax_number": "510-662-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DE WITT AND ASSOCIATES BEHAVIOR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "JUVENCIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR CEO/PRESIDENT",
        "authorized_official_telephone_number": "510-558-8786"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DABS Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DABS Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.