NPIMap

Organization Active NPI

Autism and Developmental Intervention Services

  • Behavior Analyst
  • Murrieta, CA
National Provider Identifier
1962879544
Registry record updated Aug 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM AND DEVELOPMENTAL INTERVENTION SERVICES
Practice address
23259 Joaquin Ridge Dr
Murrieta, CA 92562-3208
Phone
(714) 472-3660
NPI assigned
Aug 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2015

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

Authorized official

Name
Ms. Brandi Tavis
Title
Clinical Director/Owner
Phone
(714) 472-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

23259 Joaquin Ridge Dr
Murrieta, CA 92562-3208

Mailing address

23259 Joaquin Ridge Dr
Murrieta, CA 92562-3208

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440892800000",
    "number": "1962879544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23259 JOAQUIN RIDGE DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23259 JOAQUIN RIDGE DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623208",
            "telephone_number": "714-472-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM AND DEVELOPMENTAL INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A",
        "authorized_official_last_name": "TAVIS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "714-472-3660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; 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.