ADVANCEMENT FOR BEHAVIORAL & EDUCATIONAL DEVELOPMENT & INTERVENTION — NPI 1144598467 (Licensed & Credentialed Behavior Analyst in TUSTIN, CA)

CMS-1500 Box 24J / 33a • NPI

1144598467

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

315 CENTENNIAL WAY, TUSTIN, CA, 92780-3714

✓ 9-Digit EDI 837 ZIP+4 (92780-3714)

Practice Phone & Referral Fax

(949) 250-1101

Fax: (949) 250-1103

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1144598467 (ADVANCEMENT FOR BEHAVIORAL & EDUCATIONAL DEVELOPMENT & INTERVENTION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1144598467` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCEMENT FOR BEHAVIORAL & EDUCATIONAL DEVELOPMENT & INTERVENTION
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	315 CENTENNIAL WAY, TUSTIN, CA, 92780-3714
Practice Telephone / Fax	Tel: (949) 250-1101 \| Fax: (949) 250-1103
Administrative Mailing Address	315 CENTENNIAL WAY, TUSTIN, CA, 92780-3714
Enumeration & Last Sync	Enumerated: 2011-12-01 \| CMS Record Updated: 2019-10-02
Authorized Official	RHONDA RIVAS (Manager of Administrative Services)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

315 CENTENNIAL WAY, TUSTIN, CA, 92780-3714

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCEMENT FOR BEHAVIORAL & EDUCATIONAL DEVELOPMENT & INTERVENTION)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`106H00000X` — Marriage & Family Therapist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist	State: CA \| License: `4039` \| Primary: Secondary
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: CA \| License: `1-04-1559` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCEMENT FOR BEHAVIORAL & EDUCATIONAL DEVELOPMENT & INTERVENTION (NPI #1144598467)