Individual provider Active NPI

Ayssa Leigh Altahif, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1043696347
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-1518956 Issued in TX
Practice address
9314 Ryder Dr
San Antonio, TX 78254-2000
Phone
(210) 447-0039
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 1-1518956 TX Primary

Addresses

Primary practice location

9314 Ryder Dr
San Antonio, TX 78254-2000

Mailing address

9314 Ryder Dr
San Antonio, TX 78254-2000
Phone (210) 447-0039

Other practice location 1

1825 Fortview Rd
Suite 105
Austin, TX 78704-7657
Phone (512) 357-7837

Other practice location 2

7500 Rialto Blvd Ste 250
Austin, TX 78735-8556
Phone (888) 922-2843

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

State licenses

LicenseStateTypeSpecialty
1-1518956TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1043696347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 RYDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542000",
            "telephone_number": "210-447-0039",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 RYDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542000",
            "telephone_number": "210-447-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Fortview Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047657",
            "country_code": "US",
            "telephone_number": "512-357-7837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Rialto Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358556",
            "country_code": "US",
            "telephone_number": "888-922-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAHIF",
        "first_name": "AYSSA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-1518956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.