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Deactivated NPI 1356180715 Deactivated / Inactive NPI Male Practitioner

Nathaniel J Brody

Behavior Technician • San Dimas, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nathaniel Brody has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2024
NPI Deactivation Date October 03, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Nathaniel Brody was a registered Behavior Technician practicing in San Dimas, CA. Throughout an active medical career spanning 1 years, Nathaniel Brody provided care at the practice location at 1212 N SAN DIMAS CANYON RD until profile deactivation on 2024-10-03.

Practice Location & Contact Primary Location

Practice Address

1212 N San Dimas Canyon Rd

San Dimas, CA 917731223

Telephone 6263456455
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in San Dimas, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
126 Specialists

Practicing in San Dimas, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Zacarias

Behavior Technician

NPI 1003672270
Kaila Bonilla

Behavior Technician

NPI 1003782764
Samantha Pastoriza

Behavior Technician

NPI 1013584697
Marilyn Melgoza

Behavior Technician

NPI 1023774627
Natalie Torres

Behavior Technician

NPI 1023852209
Alani Orellana

Behavior Technician

NPI 1033925763

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 03, 2024

Record deactivated on October 03, 2024

NPI Profile Active May 23, 2024

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2024

Registered at 1212 N SAN DIMAS CANYON RD, SAN DIMAS, CA 917731223 (Tel: 6263456455)

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Updated Business Mailing Address May 23, 2024

Registered at 5850 GRANITE PKWY STE 600, PLANO, TX 750246753

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Provider Name / Credentials Updated May 23, 2024

Recorded as NATHANIEL BRODY

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2024

Behavior Technician

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Initial NPI Registration & Enumeration May 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356180715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2024
Last Update: May 23, 2024
Deactivation Date: October 03, 2024

Mailing Address

5850 Granite Pkwy Ste 600

Plano, TX 750246753

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.