Healthcare Provider Details

I. General information

NPI: 1326969353
Provider Name (Legal Business Name): BUXTON BEHAVIORAL COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 NIDRAH ST
EL CAJON CA
92020-7240
US

IV. Provider business mailing address

1091 NIDRAH ST
EL CAJON CA
92020-7240
US

V. Phone/Fax

Practice location:
  • Phone: 858-424-1225
  • Fax:
Mailing address:
  • Phone: 858-424-1225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LISA BUXTON
Title or Position: OWNER
Credential: MA BCBA
Phone: 619-905-2637