NPI 1205386646 · live from the CMS NPI Registry
Behavior Matters California LLC
Behavior Analyst in Fairfield, CA. National Provider Identifier 1205386646, active.
NPI record
| NPI | 1205386646 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2401 Waterman Blvd, Ste 4a-208, Fairfield, CA 94534 |
| Practice phone | 907-726-5330 |
| Mailing address | 16941 N Eagle River Loop Rd Ste 3, Eagle River, AK 99577 |
| Enumerated | October 10, 2016 |
| Last updated | October 10, 2016 |
| Authorized official | Rebeka Edge, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.