Square Peg Foundation
Behavior Analyst · Half Moon Bay, CA
Practice location
12150 San Mateo RdHalf Moon Bay, CA 94019-7108
- Phone
- (650) 440-5064
NPI record
- NPI
- 1609228840
- Entity type
- Organization (Type 2)
- Enumeration date
- July 12, 2016
- Last updated
- July 12, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
BCBA 1-14-15647 | CA |
Mailing address
80 Cabrillo Hwy N Ste QPMB 402
Half Moon Bay, CA 94019-1698
- Phone
- (650) 440-5064
Authorized official
- Name
- Joell Marie Dunlap, RBT
- Title
- Executive Director
- Phone
- (650) 440-5064
About Square Peg Foundation
Square Peg Foundation is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 12150 San Mateo Rd, Half Moon Bay, CA 94019-7108. The NPI number 1609228840 was assigned on July 12, 2016 and the record was last updated on July 12, 2016.
Square Peg Foundation lists a license in the registry: #BCBA 1-14-15647 (CA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Joell Marie Dunlap, RBT, Executive Director.
Frequently asked questions
What is the NPI number of Square Peg Foundation?
The NPI number is 1609228840.
What is the phone number of Square Peg Foundation?
The phone number listed for the practice location is (650) 440-5064.
Where is Square Peg Foundation located?
12150 San Mateo Rd, Half Moon Bay, CA 94019-7108.
What is the taxonomy code for Square Peg Foundation?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Behavior Analyst providers in Half Moon Bay
- Steven Michael Forth, B.C.A.B.A.12150 San Mateo Rd