Individual provider Active NPI

Mayha Aejaz

  • Behavior Analyst
  • Anaheim, CA
National Provider Identifier
1124624010
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
Y4008563 Issued in CA
Practice address
160 S Old Springs Rd Ste 135
Anaheim, CA 92808-1285
Phone
(657) 202-6464
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 Y4008563 CA Primary

Addresses

Primary practice location

160 S Old Springs Rd Ste 135
Anaheim, CA 92808-1285

Mailing address

160 S Old Springs Rd Ste 135
Anaheim, CA 92808-1285
Phone (657) 202-6464

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
Y4008563CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1124624010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 135",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081285",
            "telephone_number": "657-202-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 135",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081285",
            "telephone_number": "657-202-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEJAZ",
        "first_name": "MAYHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y4008563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.