Pacific Behavioral Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PACIFIC BEHAVIORAL THERAPY

Practice address

3244 Caminito Eastbluff Unit 44
La Jolla, CA 92037-2886

Phone

(520) 280-9151

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Prindle, BCBANPI 1881000453

Title

Executive Director

Phone

(520) 280-9151

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Joseph Prindle, PH.D., BCBA

  • Behavior Analyst
  • La Jolla, CA
  • NPI 1881000453
  NPD Authorized official

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1932838018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 CAMINITO EASTBLUFF UNIT 44",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372886",
            "telephone_number": "520-280-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 CAMINITO EASTBLUFF UNIT 44",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372886",
            "telephone_number": "520-280-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "PRINDLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-280-9151",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Michelle Owens, MA, NCC, LPC
• Jared Kiyoshi Oyama, MD
• Leslie C Oyama, MD
• Patrick Pablo, R.D.
• Lorenzo L. Pacelli, M.D.
• Pacific Health Supply LLC
• Pacific Nursing Services, Inc. (La Jolla Nurses Homecare)
• Pacific Pelvic Physical Therapy P.C.
• Pacific Surgical Specialists Medical Group, Inc
• Pack & Nguyen Optometry

• Behavior Analyst in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.