ELIJAH MACK
NPI 1194214213
Behavior Analyst in Grover Beach, CA

NPI Status: Active since May 03, 2018

Contact Information

1986 BRIGHTON AVE
GROVER BEACH, CA
ZIP 93433
Phone: (269) 352-3660

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  • Individual
  • Male
  • Behavior Analyst

About ELIJAH MACK

This page provides the complete NPI Profile along with additional information for Elijah Mack, a provider established in Grover Beach, California with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1194214213 assigned on May 2018. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1194214213
Provider Name
ELIJAH MACK
Gender
Male
Entity Type
Individual
Location Address
1986 BRIGHTON AVE GROVER BEACH, CA 93433
Location Phone
(269) 352-3660
Mailing Address
1986 BRIGHTON AVE GROVER BEACH, CA 93433
Mailing Phone
(269) 352-3660
Is Sole Proprietor?
No
Enumeration Date
05-03-2018
Last Update Date
05-03-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194214213
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2118441822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 4 + 1 + 8 + 2 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1194214213 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518493741 SIDNEY MILLER
Individual
Behavior Technician1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1780195065 MARISOL LOPEZ
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1396256657 QUINN HILDEBRAND
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1477061893 AURORA GARCIA
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1346727757 SOFIA TORRES
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1811474232 LESLIE MARSHALL
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1962983940 VALENTINA MAKOVEY
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1588132666 ALLANA LAKSHMANAN
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1386112316 CHERI OVREBO
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1063070829 JESUS CASTANEDA JR.
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1386290930 NOAH GALICIA
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1366083750 MALIA SILVA
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1780225102 BRIANNA CARDONA
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1639716079 ALLISON LOPEZ
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1689211906 MARY MURILLO
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1336786656 HEATHER STRAWSER
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1609414630 JORDAN MOLDOVAN
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1730729427 RILEY ALLEN
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1558993477 SONIA ILIFF
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660
1710511290 ALYSSA ONTIVEROS
Individual
Behavior Analyst1986 BRIGHTON AVE
GROVER BEACH, CA 93433
(269) 352-3660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194214213, enumerated in the NPI registry as an "individual" on May 03, 2018

The provider is located at 1986 Brighton Ave Grover Beach, Ca 93433 and the phone number is (269) 352-3660

The provider's speciality is Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on May 03, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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