Active NPI
Laura Bernard
- Behavior Analyst
- Rowland Heights, CA
National Provider Identifier
1417422882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-46850
- Practice address
- 17462 Colima Rd
Rowland Heights, CA 91748-1633 - Phone
- (626) 344-4434
- NPI assigned
- Oct 11, 2018
- Last updated
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-46850 | CA | Primary |
| Behavior Technician | 106S00000X | RBT-17-37877 | CA |
Addresses
Primary practice location
17462 Colima Rd
Rowland Heights, CA 91748-1633
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-46850 | Other | CA | BCBA CERT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-37877 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1417422882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17462 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481633",
"telephone_number": "626-344-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-46850",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-17-37877",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA CERT",
"identifier": "1-21-46850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
- Mareynal Bernardo Bautista
- Christopher Bejar
- Kimberly Belcher
- Michelle Anne Belo, O.D.
- Benjamin HK Choy DDS a Professioanl Dental Corporation
- Best Options, LLC (Rowland Heights Community Home)
- Better Care Physical Therapy, Inc.
- Bhavneet Kaur Inc
- BK Acuhealth, Inc. (Beijing Kim Acupuncture & Herbs)
- Wallace Ray Blackwelder, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.