Organization Active NPI

Behavior Matters California LLC

  • Behavior Analyst
  • Fairfield, CA
National Provider Identifier
1205386646
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Oct 10, 2016

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.