Individual provider Active NPI

Yue Li, M.S. BCBA

  • Behavior Analyst
  • Sherman Oaks, CA
National Provider Identifier
1285053769
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-03-1334 Issued in CA
Practice address
15315 Magnolia Blvd Ste 306
Sherman Oaks, CA 91403-1172
Phone
(888) 353-8285
Fax
(877) 805-3084
NPI assigned
Apr 10, 2014
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-03-1334 CA Primary

Addresses

Primary practice location

15315 Magnolia Blvd Ste 306
Sherman Oaks, CA 91403-1172

Mailing address

15315 Magnolia Blvd Ste 306
Sherman Oaks, CA 91403-1172
Phone (888) 353-8285

Other identifiers 1

IdentifierTypeStateIssuer
12136298OtherCACAQH

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Autism Related Education Behavior Analyst CurrentSince Aug 28, 2022 Accepting new patients

Locations

7000 Franklin Blvd
Ste 520
Sacramento, CA 95823

15315 Magnolia Blvd
Ste 306
Sherman Oaks, CA 91403
Phone (818) 232-7940

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1285053769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 306",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031172",
            "telephone_number": "888-353-8285",
            "fax_number": "877-805-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 306",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031172",
            "telephone_number": "888-353-8285",
            "fax_number": "877-805-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YUE",
        "credential": "M.S. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-03-1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12136298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

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