MR. BRIAN BOVINO M.A., BCBA
NPI 1699146472
Behavior Analyst in San Diego, CA

Active since October 19, 2015
3575 KENYON ST STE 102, SAN DIEGO, CA 92110(619) 600-0683 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Behavior Analyst

About BRIAN BOVINO

This page provides the complete NPI Profile along with additional information for Brian Bovino, a provider established in San Diego, California with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1699146472 assigned on October 2015. The practitioner's primary taxonomy code is 103K00000X with license number 1-15-19856 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1699146472 Verify this NPI
Provider Name
MR. BRIAN BOVINO M.A., BCBA
Gender
Male
Entity Type
Individual
Location Address
3575 KENYON ST STE 102 SAN DIEGO, CA 92110
Location Phone
(619) 600-0683
Mailing Address
3575 KENYON ST STE 102 SAN DIEGO, CA 92110
Mailing Phone
(619) 600-0683
Is Sole Proprietor?
No
Enumeration Date
10-19-2015
Last Update Date
10-19-2015
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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
License No.
1-15-19856
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.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Marriage & Family Therapist
3575 KENYON ST STE 102
SAN DIEGO, CA 92110
Marriage & Family Therapist
3575 KENYON ST STE 102
SAN DIEGO, CA 92110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699146472, enumerated as an "individual" on October 19, 2015.

The provider is located at 3575 KENYON ST STE 102 SAN DIEGO, CA 92110 and the phone number is (619) 600-0683.

Behavior Analyst with taxonomy code 103K00000X.