Si SE Puede Behavioral Intervention, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SI SE PUEDE BEHAVIORAL INTERVENTION, INC.

Practice address

196 W Arnaudo Blvd
Tracy, CA 95391-2059

Phone

(510) 472-1816

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Burkholder, BCBA, MA

Title

Clinical Director

Phone

(925) 240-7638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1962765388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 W ARNAUDO BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953912059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 W ARNAUDO BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953912059",
            "telephone_number": "510-472-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI SE PUEDE BEHAVIORAL INTERVENTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "925-240-7638",
        "authorized_official_credential": "BCBA, MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasuo Todd Shinohara, PHARM.D.
• Chloe K Shoulders
• Taylor Shoulders
• Laxmi Shreesha, MS
• Neeta Shroff
• Mykel Sias
• Eileen Luha Sicangco, MD
• Erin K Sicard, PSY19912
• Angadpreet Singh Sidhu, MEDICAL STUDENT
• Gurpartap Sidhu

• Community/Behavioral Health Agency in Tracy, CA
• Providers in Tracy, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.