FAMILYCARE BEHAVIORAL SERVICES
NPI 1720542830
Behavior Analyst in San Jose, CA

NPI Status: Active since January 23, 2019

Contact Information

5669 SNELL AVE # 451
SAN JOSE, CA
ZIP 95123
Phone: (408) 835-0048
Fax: (650) 434-0749

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  • Organization
  • Behavior Analyst

About FAMILYCARE BEHAVIORAL SERVICES

This page provides the complete NPI Profile along with additional information for Familycare Behavioral Services, a provider established in San Jose, California operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1720542830 assigned on January 2019. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Kristen M Petrick Bcba (President)

NPI
1720542830
Provider Name
FAMILYCARE BEHAVIORAL SERVICES
Entity Type
Organization
Location Address
5669 SNELL AVE # 451 SAN JOSE, CA 95123
Location Phone
(408) 835-0048
Location Fax
(650) 434-0749
Mailing Address
5669 SNELL AVE # 451 SAN JOSE, CA 95123
Mailing Phone
(408) 835-0048
Mailing Fax
(650) 434-0749
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2019
Last Update Date
01-23-2019
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1252Y00000XAgencies

Early Intervention Provider Agency

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTEN M PETRICK BCBA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(408) 835-0048

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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.
1720542830
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740104486
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 4 + 4 + 8 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720542830 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720542830, enumerated in the NPI registry as an "organization" on January 23, 2019

The provider is located at 5669 Snell Ave # 451 San Jose, Ca 95123 and the phone number is (408) 835-0048

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on January 23, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.