Active NPI
Behavior Matters California LLC
- Behavior Analyst
- Fairfield, CA
National Provider Identifier
1205386646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BEHAVIOR MATTERS CALIFORNIA LLC
- Practice address
- 2401 Waterman Blvd
Ste 4a-208
Fairfield, CA 94534-1800 - Phone
- (907) 726-5330
- Fax
- (907) 726-5366
- NPI assigned
- Oct 10, 2016
- 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
- Rebeka Edge, MA, BCBA, LBA
- Title
- Ceo
- Phone
- (907) 726-5330
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2401 Waterman Blvd
Ste 4a-208
Fairfield, CA 94534-1800
Mailing address
16941 N Eagle River Loop Rd Ste 3
Eagle River, AK 99577-7802
Phone (907) 726-5330
National Provider Directory
National Provider DirectoryLocations
2401 Waterman Blvd
Ste 4A208
Fairfield, CA 94534
Phone (907) 726-5330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Fairfield, CA
- NPI 1477098713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476057600000",
"number": "1205386646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16941 N EAGLE RIVER LOOP RD STE 3",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777802",
"telephone_number": "907-726-5330",
"fax_number": "907-726-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 WATERMAN BLVD",
"address_2": "STE 4A-208",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341800",
"telephone_number": "907-726-5330",
"fax_number": "907-726-5366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIOR MATTERS CALIFORNIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A",
"authorized_official_last_name": "EDGE",
"authorized_official_first_name": "REBEKA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "907-726-5330",
"authorized_official_credential": "MA, BCBA, LBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.