Individual provider Active NPI

Vanessa Tu, BCBA

  • Behavior Analyst
  • Arcadia, CA
National Provider Identifier
1003313347
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-40263 Issued in NV
Practice address
440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone
(626) 230-4094
Fax
(725) 500-5882
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-40263 NV Primary

Addresses

Primary practice location

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775

Mailing address

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone (626) 230-4094

Other practice location 1

3420 Bristol St Ste 600
Costa Mesa, CA 92626-7133
Phone (626) 230-4094

Other identifiers 3

IdentifierTypeStateIssuer
250009908MedicaidNV
1-19-40263OtherBEHAVIOR ANALYST CERTIFICATION BOARD
LBA0312OtherNVNEVADA APPLIED BEHAVIOR ANALYST BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Lovaas Center for Behavior Intervention, Inc. Past Accepting new patients
The Lovaas Center for Behavior Intervention Past Accepting new patients
Bright Minds Ca LLC Behavior Analyst PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1003313347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063775",
            "telephone_number": "626-230-4094",
            "fax_number": "725-500-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063775",
            "telephone_number": "626-230-4094",
            "fax_number": "725-500-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 Bristol St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267133",
            "country_code": "US",
            "telephone_number": "626-230-4094",
            "fax_number": "725-500-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TU",
        "first_name": "VANESSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-19-40263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250009908",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-19-40263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA APPLIED BEHAVIOR ANALYST BOARD",
            "identifier": "LBA0312",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.