Janice Botzbach, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14995 Issued in CA

Practice address

1912 N. Broadway Suite 108
Santa Ana, CA 92706

Phone

(714) 581-8660

Fax

(714) 955-4397

NPI assigned

Jul 14, 2014

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flourish ABA Behavioral Health Services

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1578013777

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1942617790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 N BROADWAY STE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062621",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 N. BROADWAY SUITE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13950 Milton Ave Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926832939",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1501",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Long Beach Blvd Ste 259",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908072617",
            "country_code": "US",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 Tortuga Drive #207",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "92649",
            "country_code": "US",
            "telephone_number": "714-581-8660",
            "fax_number": "714-955-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTZBACH",
        "first_name": "JANICE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-13-14995",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13855358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.