SOAR BEHAVIOR SERVICES, INC. (NPI# 1013327774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013327774 |
| Entity Type | Organization |
| Organization Name | SOAR BEHAVIOR SERVICES, INC. |
| Practice Address |
1764 E Commonwealth Ave Unit 104 Fullerton CA 92831-4818 |
| Mailing Address |
Po Box 4154 Fullerton CA 92834-4154 |
| Practice Telephone | 6572170966 |
| Mailing Telephone | 6572170966 |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | MR. JAMES MATTHEWS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6572170966 |
| Authorized Official Credential | EDS, MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1764 E COMMONWEALTH AVE UNIT 104 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530098 | Elizabeth Jacqueline Diaz | Behavioral Analyst | 719 W Commonwealth Ave, Fullerton, CA 92832-1612 | 2020-02-18 |
| 1720626385 | Joseph Jungkyu Choi | Behavioral Analyst | 700 Hillsboro Pl, Fullerton, CA 92833-2350 | 2019-12-13 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1558830414 | Megan Alberoni | Behavioral Analyst | 1600 N Acacia Ave, Fullerton, CA 92831-1207 | 2018-11-20 |
| 1265929368 | Autism Therapy Clinic | Behavioral Analyst | 2271 W Malvern Ave Ste 428, Fullerton, CA 92833-2106 | 2018-04-16 |
| 1215472535 | Efrain Bugarin | Behavioral Analyst | 212 Ventura Pl, Fullerton, CA 92833-3237 | 2016-12-21 |
| 1649666314 | Bloom Behavioral Health Inc. | Behavioral Analyst | 824 Glenhaven Ave, Fullerton, CA 92832-1141 | 2015-04-09 |
| 1306249701 | Seana Inducil | Behavioral Analyst | 713 W Commonwealth Ave Ste A, Fullerton, CA 92832-1612 | 2014-09-30 |
| 1205170883 | Dary Sao | Behavioral Analyst | 1435 N Harbor Blvd # 124, Fullerton, CA 92835-4105 | 2012-11-20 |
| 1932443769 | Bryan James Hebert | Behavioral Analyst | 619 N Harbor Blvd, Fullerton, CA 92832-1517 | 2012-11-16 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.