ERIC BORCHARDT BCBA
NPI 1265964175
Behavior Analyst in Petaluma, CA

Q: What is Eric Borchardt's NPI number?

The NPI number for Eric Borchardt is 1265964175. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Eric Borchardt's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Borchardt was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2017

1425 N MCDOWELL BLVD STE 206, PETALUMA, CA 94954(855) 223-7123(619) 374-7134 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2021, Dec 8, 2017, Mar 30, 2017 (3 updates tracked since 2017).

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About Eric Borchardt Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC BORCHARDT BCBA (NPI 1265964175) is an individual behavior analyst provider in Petaluma, California, licensed in California (1-17-25579) and active in the NPI registry since March 2017. He maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1265964175

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameERIC BORCHARDTCredential: BCBA

Location Address1425 N MCDOWELL BLVD STE 206Petaluma, CA 94954-6525

Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (619) 374-7134

Phone(855) 223-7123

Fax(619) 374-7134

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateJanuary 8, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2021

✔ NPI 1265964175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-17-25579

Definition

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.

1425 N MCDOWELL BLVD STE 206, Petaluma, CA 94954

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Secondary Practice Location 1

Location 11335 N Dutton AveSanta Rosa, CA 95401-4609 · Phone (707) 888-2927 · Fax (408) 286-1308

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURYN CHENOWETH

Behavior Technician