Bertha Taylor, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5945 Pacific Center Blvd Ste 510
San Diego, CA 92121-6305

Phone

(210) 393-5743

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ABA 360

  • Behavior Analyst
  • San Diego, CA
  • NPI 1932724945
  NPD Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1962973446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 POWAY OAKS DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646054",
            "telephone_number": "210-393-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 PACIFIC CENTER BLVD STE 510",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216305",
            "telephone_number": "210-393-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BERTHA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Taylor, LAC, ATC
• Andrew Bud Taylor, IDC
• Ashley Taylor, NP-BC
• Ashley Taylor
• Ayiana Michell Taylor
• Brent Taylor, PH.D.
• Camille Taylor
• Carla Marie Taylor, CADC II, AMFT
• Cary Taylor
• Christopher Taylor, PHD, LMFT

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.