Passport to Adaptive Living

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-16-7052 Issued in CA

Legal business name

PASSPORT TO ADAPTIVE LIVING

Practice address

2291 Portola Road
Unit a
Ventura, CA 93003

Phone

(805) 339-0210

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Jeremy Wilson, M.A. BCBA

Title

Clinical Director

Phone

(805) 339-0210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter Aguirre

  • Behavior Analyst
  • Ventura, CA
  • NPI 1265885487
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1922452192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 PORTOLA ROAD",
            "address_2": "UNIT A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-339-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 PORTOLA ROAD",
            "address_2": "UNIT A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-339-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT TO ADAPTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-339-0210",
        "authorized_official_credential": "M.A. BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-16-7052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryush Parsa, M.D.
• Adriana Trujillo Parsons, FNP
• Leon G Partamian, M.D.
• Mariela Partello, RN
• Jennifer Partmann, SCHOOL NURSE
• Passport to Adaptive Living
• Deborah Ann Paster, M.A.
• Alan Pasternak, PH.D
• Debbie Pastor, CAS, SUDCC, MRAS
• Patricia Aylard Patchett

• Behavior Analyst in Ventura, CA
• Providers in Ventura, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.