=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538663448
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARES CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2018
-----------------------------------------------------
Last Update Date | 02/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 245 H ST STE 1
-----------------------------------------------------
City | LOS BANOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93635-4150
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-710-8774
-----------------------------------------------------
Fax | 209-710-4338
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21534 HENRY MILLER RD
-----------------------------------------------------
City | LOS BANOS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93635-9717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-107-8774
-----------------------------------------------------
Fax | 209-710-4338
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | DR. NIKKO S. DA PAZ
-----------------------------------------------------
Credential | PHD, BCBA
-----------------------------------------------------
Telephone | 209-710-8774
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | BACB275281
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------