NPIMap

Organization Active NPI

Behavior Support Services LLC

  • Behavior Analyst
  • Tustin, CA
National Provider Identifier
1881969145
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2160 BCBA Issued in CA
Legal business name
BEHAVIOR SUPPORT SERVICES LLC
Practice address
1405 Manchester Way
Tustin, CA 92782-1785
Phone
(714) 856-2696
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. H. Michael Carpenter, PH.D. BCBA-DNPI 1790222107
Title
Co-Founder/Director
Phone
(714) 856-2696

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-05-2160 BCBA CA Primary

Addresses

Primary practice location

1405 Manchester Way
Tustin, CA 92782-1785

Mailing address

1405 Manchester Way
Tustin, CA 92782-1785
Phone (714) 856-2696

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1881969145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MANCHESTER WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821785",
            "telephone_number": "714-856-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MANCHESTER WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821785",
            "telephone_number": "714-856-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "H. MICHAEL",
        "authorized_official_title_or_position": "CO-FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "714-856-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-05-2160 BCBA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.