Organization Active NPI

Learning Institute for Functional Education (L.I.F.E.)

  • Behavior Analyst
  • Modesto, CA
National Provider Identifier
1184128571
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Miss Terra Dawn Oehler, BCBANPI 1821440645
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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.