Active NPI
Learning Institute for Functional Education (L.I.F.E.)
- Behavior Analyst
- Modesto, CA
National Provider Identifier
1184128571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- LEARNING INSTITUTE FOR FUNCTIONAL EDUCATION (L.I.F.E.)
- Practice address
- 1620 N Carpenter Rd Ste C19
Modesto, CA 95351-1156 - Phone
- (209) 900-3722
- Fax
- (209) 859-9005
- NPI assigned
- Mar 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Terra Dawn Oehler, BCBA
- Title
- Ceo
- Phone
- (209) 900-3722
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary | |
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
1620 N Carpenter Rd Ste C19
Modesto, CA 95351-1156
Mailing address
1620 N Carpenter Rd Ste C19
Modesto, CA 95351-1156
Phone (209) 900-3722
Other practice location 1
5716 Pirrone Rd
Salida, CA 95368-9313
Phone (209) 545-1440
Other practice location 2
4605 Via Giardiano
Modesto, CA 95357-0661
Phone (209) 900-3722
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Modesto, CA
- NPI 1821440645
-
- Occupational Therapist
- Modesto, CA
- NPI 1801307491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1184128571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE C19",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511156",
"telephone_number": "209-900-3722",
"fax_number": "209-859-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE C19",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511156",
"telephone_number": "209-900-3722",
"fax_number": "209-859-9005"
}
],
"practiceLocations": [
{
"address_1": "5716 Pirrone Rd",
"address_purpose": "LOCATION",
"city": "Salida",
"state": "CA",
"postal_code": "953689313",
"country_code": "US",
"telephone_number": "209-545-1440",
"fax_number": "209-545-1468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4605 Via Giardiano",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953570661",
"country_code": "US",
"telephone_number": "209-900-3722",
"fax_number": "209-551-5407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LEARNING INSTITUTE FOR FUNCTIONAL EDUCATION (L.I.F.E.)",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-20",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "OEHLER",
"authorized_official_first_name": "TERRA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-900-3722",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.