Active NPI
Larry Lee, BA
- Behavior Analyst
- Oakland, CA
National Provider Identifier
1538599113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2868 Telegraph Ave
Unit a
Oakland, CA 94609-3607 - Phone
- (510) 500-4124
- Fax
- (510) 380-6122
- NPI assigned
- Nov 19, 2013
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2868 Telegraph Ave
Unit a
Oakland, CA 94609-3607
Mailing address
481 Anderson St
San Francisco, CA 94110-6002
Phone (415) 971-8611
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1538599113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 ANDERSON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941106002",
"telephone_number": "415-971-8611",
"fax_number": "510-380-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 TELEGRAPH AVE",
"address_2": "UNIT A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093607",
"telephone_number": "510-500-4124",
"fax_number": "510-380-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LARRY",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.