BIDWELL BEHAVIOR NPI 1417572413

Behavior Analyst in Chico, CA

NPI 1417572413 Organization Behavior Analyst

About BIDWELL BEHAVIOR

Bidwell Behavior is a provider established in Chico, California specializing in behavior analyst. The NPI number of Bidwell Behavior is 1417572413 and was assigned on June 2020. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Bidwell Behavior operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nicole Gardemeyer Bcba (President)

NPI

1417572413

Provider NameBIDWELL BEHAVIOR
Provider Location Address3209 ESPLANADE STE 130 CHICO, CA 95973
Provider Mailing Address3209 ESPLANADE STE 130 CHICO, CA 95973
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-15-2020
Last Update Date07-30-2020


Primary Taxonomy

Taxonomy Code103K00000X
ClassificationBehavior Analyst
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA 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.

Business Address

BIDWELL BEHAVIOR
3209 ESPLANADE STE 130
CHICO, CA
ZIP 95973
Phone: (530) 208-5252
Fax: (530) 965-5990

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Mailing Address

BIDWELL BEHAVIOR
3209 ESPLANADE STE 130
CHICO, CA
ZIP 95973
Phone: (530) 208-5252
Fax: (530) 965-5990



Authorized Official

Authorized Official Name NICOLE GARDEMEYER BCBA
Authorized Official TitlePRESIDENT
Authorized Official Phone(530) 212-0205

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295936136 ALLYSON ELIZABETH WILHITE RN
Individual
Marriage & Family Therapist3209 ESPLANADE STE 130
CHICO, CA 95973
(530) 520-1136
1629553706 NICOLE GARDEMEYER
Individual
Behavior Analyst3209 ESPLANADE STE 130
CHICO, CA 95973
(530) 212-0205
1285241000 VERONIKA IONINA
Individual
Behavior Technician3209 ESPLANADE STE 130
CHICO, CA 95973
(530) 208-5252
1184299778MRS. HEATHER M WADDLE
Individual
Behavior Technician3209 ESPLANADE STE 130
CHICO, CA 95973
(530) 208-5252

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.