Individual provider Active NPI

Sarah Lee

  • Behavior Analyst
  • Fontana, CA
National Provider Identifier
1235601725
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47694 Issued in CA
Practice address
6949 Dew Point Way
Fontana, CA 92336-1865
Phone
(909) 317-8499
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00002502 CA
Behavior Analyst 103K00000X 1-21-47694 CA Primary

Addresses

Primary practice location

6949 Dew Point Way
Fontana, CA 92336-1865

Mailing address

6949 Dew Point Way
Fontana, CA 92336-1865
Phone (909) 317-8499

Other practice location 1

2080 N Tustin Ave Ste B
Santa Ana, CA 92705-7875
Phone (855) 581-0100

Other identifiers 1

IdentifierTypeStateIssuer
00002502OtherCABOARD CERTIFIED AUTISM TECHNICIAN

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
00002502CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilearn Behavioral Strategies, Inc. Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients
Ilearn Behvavioral Stratergires Inc Behavior Technician PastSince Jan 8, 2023 Accepting new patients

Locations

10261 Trademark St
Ste C
Rch Cucamonga, CA 91730
Phone (909) 317-8499

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1235601725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 DEW POINT WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361865",
            "telephone_number": "909-317-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 DEW POINT WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361865",
            "telephone_number": "909-317-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 N Tustin Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927057875",
            "country_code": "US",
            "telephone_number": "855-581-0100",
            "fax_number": "855-329-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00002502",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-47694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED AUTISM TECHNICIAN",
            "identifier": "00002502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.