Steven Roberts

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9466 Black Mountain Rd Ste 100
San Diego, CA 92126-4550

Phone

(858) 689-2027

NPI assigned

Oct 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Autism Group, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1619265311
  NPD (past)
• Therapeutic Approach to Growth, Inc.

  • Behavior Analyst
  • San Diego, CA
  • NPI 1699153700
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1861090789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 PASEO TAPAJOS",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920092214",
            "telephone_number": "949-370-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9466 BLACK MOUNTAIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264550",
            "telephone_number": "858-689-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall C Roberts, MD
• Morgan Clark Roberts, MSW
• Sarah Catherine Marie Roberts, B.A.
• Scott James Roberts
• Stefani Roberts
• Sundance Roberts
• Sydney Roberts, BS
• Sydney Caroline Roberts
• Terrynn Roberts
• Tiffany Juterbock Roberts, PSYD, LMFT 53905

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.