1700635513 NPI number — TODAYS APPLIED BEHAVIOR ANALYSIS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700635513 NPI number — TODAYS APPLIED BEHAVIOR ANALYSIS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TODAYS APPLIED BEHAVIOR ANALYSIS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700635513
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9121 BOLSA AVE STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTMINSTER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92683-8908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-572-3216
Provider Business Mailing Address Fax Number:
559-236-4125

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2049 W UNION AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93257-6732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-572-3216
Provider Business Practice Location Address Fax Number:
559-236-4125
Provider Enumeration Date:
05/14/2024

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
LUIS
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
916-572-3216

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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