Organization Active NPI

Behavior Management Foundation

  • Behavior Analyst
  • Atwater, CA
National Provider Identifier
1861850653
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR MANAGEMENT FOUNDATION
Practice address
584 E Bellevue Rd
Atwater, CA 95301-2300
Phone
(559) 747-2177
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Mr. Jonathan Paul Nowicki, BCBANPI 1629407747
Title
Ceo/Clinical Director
Phone
(559) 647-0004

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

584 E Bellevue Rd
Atwater, CA 95301-2300

Mailing address

584 E Bellevue Rd
Atwater, CA 95301-2300
Phone (559) 747-2177

Other practice location 1

4400 State Highway 121 Ste 300-302
Lewisville, TX 75056-4561
Phone (559) 747-2177

National Provider Directory

National Provider Directory

Locations

584 E Bellevue Rd
Atwater, CA 95301
Phone (559) 365-3136

4400 State Highway 121
Ste 300302
Lewisville, TX 75056
Phone (559) 747-2177

Practitioners & affiliated clinicians

Practitioners 2

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": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1861850653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 E BELLEVUE RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012300",
            "telephone_number": "559-747-2177",
            "fax_number": "559-751-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 E BELLEVUE RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012300",
            "telephone_number": "559-747-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 State Highway 121 Ste 300-302",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750564561",
            "country_code": "US",
            "telephone_number": "559-747-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIOR MANAGEMENT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-647-0004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.