Brain Based Behavior Center, Inc.

Behavior Analyst · Fremont, CA

Organization Active NPI

NPI number 1942623749

Practice location

4588 Peralta Blvd Ste 7
Fremont, CA 94536-5757
Phone
(510) 972-1030
Fax
(510) 793-6399

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NPI record

NPI
1942623749
Entity type
Organization (Type 2)
Enumeration date
January 29, 2014
Last updated
January 29, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 11212648 CA

Authorized official

Name
Michael Slone, BCBA-D
Title
ABA Therapist
Phone
(510) 972-1030

About Brain Based Behavior Center, Inc.

Brain Based Behavior Center, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4588 Peralta Blvd Ste 7, Fremont, CA 94536-5757. The NPI number 1942623749 was assigned on January 29, 2014 and the record was last updated on January 29, 2014.

Brain Based Behavior Center, Inc. lists a license in the registry: #11212648 (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 Michael Slone, BCBA-D, ABA Therapist.

Frequently asked questions

What is the NPI number of Brain Based Behavior Center, Inc.?

The NPI number is 1942623749.

What is the phone number of Brain Based Behavior Center, Inc.?

The phone number listed for the practice location is (510) 972-1030.

Where is Brain Based Behavior Center, Inc. located?

4588 Peralta Blvd Ste 7, Fremont, CA 94536-5757.

What is the taxonomy code for Brain Based Behavior Center, Inc.?

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.

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