Healthcare Provider Details
I. General information
NPI: 1003741372
Provider Name (Legal Business Name): APPLIED OUTCOMES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 FRENCHYS CV APT 17
CAMARILLO CA
93012-9155
US
IV. Provider business mailing address
200 FRENCHYS CV APT 17
CAMARILLO CA
93012-9155
US
V. Phone/Fax
- Phone: 916-990-2104
- Fax:
- Phone: 916-990-2104
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEIDRA
L
MEYERS
Title or Position: CEO
Credential: BCBA
Phone: 916-990-2104