Brain Based Behavior Center, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11212648 Issued in CA

Legal business name

BRAIN BASED BEHAVIOR CENTER, INC.

Practice address

4588 Peralta Blvd Ste 7
Fremont, CA 94536-5757

Phone

(510) 972-1030

Fax

(510) 793-6399

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Michael Slone, BCBA-D

Title

ABA Therapist

Phone

(510) 972-1030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1942623749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 PERALTA BLVD STE 7",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365757",
            "telephone_number": "510-972-1030",
            "fax_number": "510-793-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 PERALTA BLVD STE 7",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365757",
            "telephone_number": "510-972-1030",
            "fax_number": "510-793-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BASED BEHAVIOR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SLONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ABA THERAPIST",
        "authorized_official_telephone_number": "510-972-1030",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11212648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Alexandria Bracamonte
• Celeste Brackett
• Jasmine Michelle Yap Bradfish, PHARMD
• Annabella Rebeccah Braggs
• Karendip Kaur Braich, M.D.
• Sally Ilene Bratton, FNP
• Yulia Braverman
• Maria Victoria Bravo, MFT
• Reginald Breland
• Robert F Brennan, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.