Active NPI
Peter NA
- Behavior Technician
- Costa Mesa, CA
National Provider Identifier
1962053595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Behavior Functions 3303 Harbor Blvd
Ste B8
Costa Mesa, CA 92626 - Phone
- (714) 786-6069
- NPI assigned
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
Behavior Functions 3303 Harbor Blvd
Ste B8
Costa Mesa, CA 92626
Mailing address
Behavior Functions 3303 Harbor Blvd
Ste B8
Costa Mesa, CA 92626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1962053595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BEHAVIOR FUNCTIONS 3303 HARBOR BLVD",
"address_2": "STE B8",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEHAVIOR FUNCTIONS 3303 HARBOR BLVD",
"address_2": "STE B8",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-786-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NA",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.