Individual provider Active NPI

Monica Haruna, BCBA

  • Behavior Analyst
  • Davis, CA
National Provider Identifier
1427552199
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31071 Issued in CA
Practice address
1947 Galileo CT Ste 101
Davis, CA 95618
Phone
(916) 266-3972
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-15-11282 CA
Behavior Analyst 103K00000X 1-18-31071 CA Primary

Addresses

Primary practice location

1947 Galileo CT Ste 101
Davis, CA 95618

Mailing address

120 Theresa Ave
American Canyon, CA 94503-9654

Other practice location 1

120 Theresa Ave
American Canyon, CA 94503-9654
Phone (707) 561-0134

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
RBT-15-11282CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Bee, LLC Behavior Analyst Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1427552199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 THERESA AVE",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945039654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 GALILEO CT STE 101",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "916-266-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Theresa Ave",
            "address_purpose": "LOCATION",
            "city": "American Canyon",
            "state": "CA",
            "postal_code": "945039654",
            "country_code": "US",
            "telephone_number": "707-561-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARUNA",
        "first_name": "MONICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-15-11282",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-31071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.