BEHAVIOR ONE AUTISM SOLUTIONS, LLC (NPI# 1588143283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588143283 |
| Entity Type | Organization |
| Organization Name | BEHAVIOR ONE AUTISM SOLUTIONS, LLC |
| Practice Address |
17842 Irvine Blvd Ste B112 Tustin CA 92780-3203 |
| Practice Telephone | 6572945113 |
| Practice Fax Number | 6572945114 |
| Mailing Telephone | 6572945113 |
| Mailing Fax Number | 6572945114 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | KENNETH BURG (CEO) |
| Authorized Official Telephone | 6572945113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
17842 IRVINE BLVD STE B112 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403421 | Jennifer A Yakel | Marriage & Family Therapist | 17842 Irvine Blvd Ste B112, Tustin, CA 92780-3203 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950952 | Katie Joy Austring | Community/Behavioral Health | 14772 Livingston St, Tustin, CA 92780-2622 | 2018-07-30 |
| 1649636903 | Active Sports Psychology, Apc | Community/Behavioral Health | 10825 Duroy Ct, Tustin, CA 92782-1341 | 2016-01-01 |
| 1285257386 | Creative Healing Therapy Solutions | Community/Behavioral Health | 12821 Newport Ave, Tustin, CA 92780-2711 | 2020-05-22 |
| 1366910960 | Beyond Detention | Community/Behavioral Health | 12821 Newport Ave, Tustin, CA 92780-2711 | 2018-11-13 |
| 1548616923 | Inside Out Counseling Services | Community/Behavioral Health | 2522 Chambers Rd Ste 125, Tustin, CA 92780-6962 | 2016-05-04 |
| 1598179814 | Inner Peace Psychotherapy, PC | Community/Behavioral Health | 14751 Plaza Dr, Suite F, Tustin, CA 92780-2702 | 2014-06-13 |
| 1528482023 | Healthright 360 | Community/Behavioral Health | 15405 Lansdowne Rd, Tustin, CA 92782-0200 | 2014-02-05 |
| 1144592346 | Prepare To Change, A Psychology Corporation | Community/Behavioral Health | 222 W Main St, Suite 101, Tustin, CA 92780-7720 | 2012-02-02 |
| 1962685776 | Girls United Together for Strength | Community/Behavioral Health | 17332 Irvine Blvd, Suite 232, Tustin, CA 92780-3036 | 2007-12-14 |
| 1811193345 | Kinship Center | Community/Behavioral Health | 18302 Irvine Blvd Ste 300, Tustin, CA 92780-3437 | 2007-06-22 |
| Find all providers in TUSTIN | ||||
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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.