NPIMap

Organization Active NPI

ABA 360

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1932724945
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA 360
Practice address
9565 Waples St Ste 100
San Diego, CA 92121-2973
Phone
(210) 393-5743
Fax
(858) 800-2570
NPI assigned
Jun 15, 2020
Last updated
Feb 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2023

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

Authorized official

Name
Bertha Taylor, BCBANPI 1962973446
Title
Founder
Phone
(210) 393-5743

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

9565 Waples St Ste 100
San Diego, CA 92121-2973

Mailing address

14781 Pomerado Rd # 11
Poway, CA 92064-2802

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677369600000",
    "number": "1932724945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14781 POMERADO RD # 11",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 WAPLES ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212973",
            "telephone_number": "210-393-5743",
            "fax_number": "858-800-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "210-393-5743",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.