Active NPI
Joyce Lee, M.S.BCBA
- Behavior Analyst
- Altadena, CA
National Provider Identifier
1174888051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1118288
- Practice address
- 1031 Alpine Villa Dr
Altadena, CA 91001-1404 - Phone
- (844) 427-8834
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1118288 | Primary |
Addresses
Primary practice location
1031 Alpine Villa Dr
Altadena, CA 91001-1404
Mailing address
1031 Alpine Villa Dr
Altadena, CA 91001-1404
Phone (844) 427-8834
Other practice location 1
5278 S Jericho Way
Centennial, CO 80015-5225
Phone (844) 427-8834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-568-1176 | Other | CA | SECRETARY OF STATE OF CALIFORNIA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballsbridge Academy Inc Behavior and Education Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ballsbridge Behavior and Consultation Services
- Community/Behavioral Health Agency
- Altadena, CA
- NPI 1932574597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1174888051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 ALPINE VILLA DR",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910011404",
"telephone_number": "844-427-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 ALPINE VILLA DR",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910011404",
"telephone_number": "844-427-8834"
}
],
"practiceLocations": [
{
"address_1": "5278 S Jericho Way",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "800155225",
"country_code": "US",
"telephone_number": "844-427-8834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOYCE",
"name_prefix": "Mrs.",
"credential": "M.S.BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1118288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE OF CALIFORNIA",
"identifier": "47-568-1176",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.