Akitra Bates, M.ED.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52648 Issued in CA

Practice address

501 Marengo Ave
Stockton, CA 95207-3813

Phone

(209) 981-8681

NPI assigned

Aug 11, 2020

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1568073781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARENGO AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073813",
            "telephone_number": "209-981-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARENGO AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073813",
            "telephone_number": "209-981-8681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Arnold Dr Ste 148",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945536538",
            "country_code": "US",
            "telephone_number": "510-268-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "AKITRA",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-52648",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manreet Basra, M.D.
• Ranjot Basram, DO
• Elijah Bass
• Vanessa Basulto Macias
• Jillian Maree Batac
• Donalee Kay Bates
• Haley Bates
• Julina Batieste
• Sanjeev Batra, DO
• Donald G. Battaglia, MD

• Behavior Analyst in Stockton, CA
• Providers in Stockton, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.