Organization Active NPI

Knowledge of Autism & Other Developmental Disabilities, LLC.

  • Behavior Analyst
  • La Habra, CA
National Provider Identifier
1174163323
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KNOWLEDGE OF AUTISM & OTHER DEVELOPMENTAL DISABILITIES, LLC.
Practice address
890 Whitebook Drive
La Habra, CA 90631
Phone
(562) 458-0629
NPI assigned
Jan 15, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Alicia Igarta, BCBANPI 1679089767
Title
Co-Owner
Phone
(562) 458-0629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Assistant Behavior Analyst 106E00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

890 Whitebook Drive
La Habra, CA 90631

Mailing address

14742 Beach Blvd # 442
La Mirada, CA 90638-4217

National Provider Directory

National Provider Directory

Locations

14742 Beach Blvd
La Mirada, CA 90638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1174163323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14742 BEACH BLVD # 442",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WHITEBOOK DRIVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-458-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLEDGE OF AUTISM & OTHER DEVELOPMENTAL DISABILITIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "IGARTA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "562-458-0629",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.