Individual provider Active NPI

Yajaira Sarai Coghlan

  • Assistant Behavior Analyst
  • La Mesa, CA
National Provider Identifier
1215899380
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
RBT-25-482812 Issued in CA
Practice address
7373 University Ave Ste 116
La Mesa, CA 91942-0523
Phone
(619) 991-4499
Fax
(619) 639-2527
NPI assigned
Nov 26, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT-25-482812 CA Primary

Addresses

Primary practice location

7373 University Ave Ste 116
La Mesa, CA 91942-0523

Mailing address

7373 University Ave Ste 116
La Mesa, CA 91942-0523
Phone (619) 991-4499

Other identifiers 1

IdentifierTypeStateIssuer
16691113OtherCACAQH

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

State licenses

LicenseStateTypeSpecialty
RBT-25-482812CAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
MTR Child & Family Services LLC CurrentSince Nov 30, 2025 Accepting new patients

Locations

7373 University Ave
Ste 116
La Mesa, CA 91942
Phone (619) 504-0576

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1215899380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE STE 116",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420523",
            "telephone_number": "619-991-4499",
            "fax_number": "619-639-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 UNIVERSITY AVE STE 116",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420523",
            "telephone_number": "619-991-4499",
            "fax_number": "619-639-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "YAJAIRA",
        "middle_name": "SARAI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "RBT-25-482812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16691113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.