Active NPI
Lance Havens, BCBA
- Behavior Analyst
- Oceanside, CA
National Provider Identifier
1275069726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-21047
- Practice address
- 1759 Oceanside Blvd Ste C118
Oceanside, CA 92054-3470 - Phone
- (213) 915-8277
- Fax
- (844) 609-0034
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-21047 | CA | Primary |
Addresses
Primary practice location
1759 Oceanside Blvd Ste C118
Oceanside, CA 92054-3470
Mailing address
1759 Oceanside Blvd Ste C118
Oceanside, CA 92054-3470
Phone (213) 915-8277
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim Behavior Services, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
1759 Oceanside Blvd
Ste C118
Oceanside, CA 92054
Phone (213) 915-8277
3604 Ocean Ranch Blvd
Oceanside, CA 92056
Phone (213) 915-8277
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 and National Provider Directory roles.
-
- Behavior Analyst
- Oceanside, CA
- NPI 1194252759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1275069726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 OCEANSIDE BLVD STE C118",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543470",
"telephone_number": "213-915-8277",
"fax_number": "844-609-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 OCEANSIDE BLVD STE C118",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543470",
"telephone_number": "213-915-8277",
"fax_number": "844-609-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "LANCE",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-21047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.