Individual provider Active NPI

Heather Ann Cobb, BCBA

  • Behavior Analyst
  • Huntington Beach, CA
National Provider Identifier
1407474653
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49211 Issued in CA
Practice address
18685 Main St Ste 101-459
Huntington Beach, CA 92648-1723
Phone
(714) 697-1907
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 119472 CA
Behavior Analyst 103K00000X 1-21-49211 CA Primary

Addresses

Primary practice location

18685 Main St Ste 101-459
Huntington Beach, CA 92648-1723

Mailing address

18685 Main St Ste 101-459
Huntington Beach, CA 92648-1723
Phone (714) 697-1907

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@abhcal.com

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
119472CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Health, Inc. CurrentSince Apr 25, 2021 Accepting new patients
Insight Children and Family Services Marriage & Family Therapist PastSince Mar 28, 2021 Accepting new patients

Locations

18685 Main St
Ste 101459
Huntington Beach, CA 92648
Phone (714) 697-1907

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1407474653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18685 MAIN ST STE 101-459",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481723",
            "telephone_number": "714-697-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18685 MAIN ST STE 101-459",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481723",
            "telephone_number": "714-697-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119472",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@abhcal.com",
            "affiliation": "N",
            "address_1": "18685 Main St Ste 101-459",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926481723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.