Angelica Roxann Upshaw-Legge

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

F5770540 Issued in CA

Practice address

416 Auburn Folsom Rd
Auburn, CA 95603-5515

Phone

(530) 786-7050

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1164086427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 AUBURN FOLSOM RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035515",
            "telephone_number": "530-786-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW-LEGGE",
        "first_name": "ANGELICA",
        "middle_name": "ROXANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "F5770540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "97274550D16126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chika Queen Ugwu, PMHNP
• Ulmus Holdings, LLC
• Beau Ulrich, D.D.S.
• Bruce Michael Ulrich, DDS
• Claire M Unis, M.D.
• Lisa Marie Uribe, LMFT
• Carole Diane Vaillancourt, RN
• Lexe Andrea Valdivia
• Michelle Valentine, RN, BSN
• John R Van Auker, PA

• Behavior Analyst in Auburn, CA
• Providers in Auburn, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.