Nexus Behavioral Health, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEXUS BEHAVIORAL HEALTH, LLC

Practice address

39899 Balentine Dr
Newark, CA 94560-5355

Phone

(510) 626-9290

Fax

(844) 447-0582

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Beatriz Chavez

Title

Director of Practice Administration

Phone

(331) 226-1261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1952983546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605355",
            "telephone_number": "510-626-9290",
            "fax_number": "844-447-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605355",
            "telephone_number": "510-626-9290",
            "fax_number": "844-447-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "DIRECTOR OF PRACTICE ADMINISTRATION",
        "authorized_official_telephone_number": "331-226-1261"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.