NPIMap

Organization Active NPI

Bay ABA, LLC

  • Behavior Analyst
  • San Carlos, CA
National Provider Identifier
1497292965
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13782 Issued in CA
Legal business name
BAY ABA, LLC
Practice address
3331 Brittan Ave
Apt. 8
San Carlos, CA 94070-3438
Phone
(502) 494-8897
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Miss Leah C Wood, M.S., BCBA
Title
Co-Founder
Phone
(502) 494-8897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-13-13782 CA Primary

Addresses

Primary practice location

3331 Brittan Ave
Apt. 8
San Carlos, CA 94070-3438

Mailing address

3331 Brittan Ave
Apt. 8
San Carlos, CA 94070-3438
Phone (502) 494-8897

Other identifiers 2

IdentifierTypeStateIssuer
1508137168OtherCANPI
1487959771OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1497292965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 BRITTAN AVE",
            "address_2": "APT. 8",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703438",
            "telephone_number": "502-494-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 BRITTAN AVE",
            "address_2": "APT. 8",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703438",
            "telephone_number": "502-494-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "502-494-8897",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508137168",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487959771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.