Individual provider Active NPI

Paul Marc Daniels, BA PSYCHOLOGY

  • Behavior Technician
  • Placentia, CA
National Provider Identifier
1982164158
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345
Phone
(714) 203-6599
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345

Mailing address

701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345
Phone (714) 203-6599

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.bloombh.com

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1982164158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 245",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706345",
            "telephone_number": "714-203-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W KIMBERLY AVE STE 245",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706345",
            "telephone_number": "714-203-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "PAUL MARC",
        "credential": "BA PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.bloombh.com",
            "affiliation": "N",
            "endpointDescription": "http://www.bloombh.com",
            "address_1": "701 W Kimberly Ave Ste 245",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928706345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.