Active NPI
Timothy Yeager, BCBA-D
- Behavior Analyst
- Fresno, CA
National Provider Identifier
1366828147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16049
- Practice address
- 5048 N Jackson Ave
Fresno, CA 93740-0001 - Phone
- (559) 288-8670
- NPI assigned
- Aug 4, 2015
- 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 | 1-14-16049 | CA | Primary |
Addresses
Primary practice location
5048 N Jackson Ave
Fresno, CA 93740-0001
Mailing address
5048 N Jackson Ave
Fresno, CA 93740-0001
Phone (559) 288-8670
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1366828147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5048 N JACKSON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937400001",
"telephone_number": "559-288-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5048 N JACKSON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937400001",
"telephone_number": "559-288-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "TIMOTHY",
"credential": "BCBA-D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-16049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.