NPIMap

Organization Active NPI

Ballsbridge Academy Inc Behavior and Education Center

Doing business as Ballsbridge Behavior and Consultation Services

  • Community/Behavioral Health Agency
  • Altadena, CA
National Provider Identifier
1932574597
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3831490 Issued in CA
Legal business name
BALLSBRIDGE ACADEMY INC BEHAVIOR AND EDUCATION CENTER
Doing business as
Ballsbridge Behavior and Consultation Services
Ballsbridge Behavior and Consultation Services, Inc.
Practice address
1031 Alpine Villa Dr
Altadena, CA 91001-1404
Phone
(888) 740-8893
NPI assigned
Dec 8, 2015
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Emilia Broberg, MS, BCBA 1-05-2148NPI 1225383607
Title
Owner, President, Ceo
Phone
(844) 427-8834

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
Community/Behavioral Health Agency 251S00000X 3831490 CA Primary

Addresses

Primary practice location

1031 Alpine Villa Dr
Altadena, CA 91001-1404

Mailing address

PO Box 628
La Canada, CA 91012-0628

Other practice location 1

5278 S Jericho Way
Centennial, CO 80015-5225
Phone (844) 427-8834

Other names 2

  • Ballsbridge Behavior and Consultation Services Doing business as
  • Ballsbridge Behavior and Consultation Services, Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1932574597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910120628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 ALPINE VILLA DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910011404",
            "telephone_number": "888-740-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5278 S Jericho Way",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155225",
            "country_code": "US",
            "telephone_number": "844-427-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALLSBRIDGE ACADEMY INC BEHAVIOR AND EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "BROBERG",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, CEO",
        "authorized_official_telephone_number": "844-427-8834",
        "authorized_official_credential": "MS, BCBA 1-05-2148"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "3831490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballsbridge Behavior and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ballsbridge Behavior and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ballsbridge Behavior and Consultation Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.