Connect the Dots, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BACB# 1-14-15715 Issued in CA

Legal business name

CONNECT THE DOTS, LLC

Practice address

5186 Treosti PL
Valley Springs, CA 95252-8772

Phone

(209) 471-7962

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renae Mari Olivas, M.S., BCBA

Title

Clinical Director

Phone

(209) 471-7962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renae Mari Tibbett, BCBA

  • Behavior Analyst
  • Hingham, MA
  • NPI 1720479363
  NPD (past)

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1992197537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5186 TREOSTI PL",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528772",
            "telephone_number": "209-471-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5186 TREOSTI PL",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528772",
            "telephone_number": "209-471-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT THE DOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "209-471-7962",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "BACB# 1-14-15715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Lee Penaranda Cane, AMFT
• Marie Therese Carter, PPSC
• Anh Tam Thi Chalmers
• Kathy Choi, PHARM.D.
• Brian Eugene Cobb, RPH
• Rachall Crowe, FNP-BC
• James M Cudziol
• Lauren Nicole Date-Chong, PNP
• Tamara Davis, LCSW
• Stephanie Ann Dilliner, PT

• Community/Behavioral Health Agency in Valley Springs, CA
• Providers in Valley Springs, 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 Feb 18, 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.