MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC
NPI 1528332012
Behavior Analyst in Fair Oaks, CA

NPI Status: Active since February 29, 2012

Contact Information

7949 CALIFORNIA AVE STE 14
FAIR OAKS, CA
ZIP 95628
Phone: (916) 863-7949

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Behavior Analyst

About MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC

This page provides the complete NPI Profile along with additional information for Maverick Education & Behavioral Solutions, Llc, a provider established in Fair Oaks, California operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1528332012 assigned on February 2012. The practitioner's primary taxonomy code is 103K00000X with license number 1000030 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dawn Montgomery M.s., B.c.b.a. (Ceo/owner)

NPI: 1528332012
Provider Name: MAVERICK EDUCATION & BEHAVIORAL SOLUTIONS, LLC
Entity Type: Organization
Location Address: 7949 CALIFORNIA AVE STE 14 FAIR OAKS, CA 95628
Location Phone: (916) 863-7949
Mailing Address: 7949 CALIFORNIA AVE STE 14 FAIR OAKS, CA 95628
Mailing Phone: (916) 863-7949
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-29-2012
Last Update Date: 02-29-2012
Code Navigator

Location Map

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
License No.: 1000030
License State: CA
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)
1	252Y00000X	Agencies	Early Intervention Provider Agency	1000030 (CA)

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: DAWN MONTGOMERY M.S., B.C.B.A.
Authorized Official Title: CEO/OWNER
Authorized Official Phone: (916) 983-7949

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.
1	5	2	8	3	3	2	0	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	4	8	6	3	4	0	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 6 + 3 + 4 + 0 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1528332012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.