Active NPI
Matthew Yaggie
- Behavior Analyst
- West Covina, CA
National Provider Identifier
1609284348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16612
- Practice address
- 1000 Lakes Dr Ste 320
West Covina, CA 91790-2938 - Phone
- (888) 428-3223
- Fax
- (323) 866-1881
- NPI assigned
- Jul 25, 2014
- 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 | 1-14-16612 | CA | Primary |
Addresses
Primary practice location
1000 Lakes Dr Ste 320
West Covina, CA 91790-2938
Mailing address
4221 Wilshire Blvd
Suite 300a
Los Angeles, CA 90010-3512
Phone (323) 866-1880
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercare Therapy, Inc. | Behavior Analyst | Past | Accepting new patients |
| Intercare Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- West Covina, CA
- NPI 1013286947
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1184916496
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1609284348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 WILSHIRE BLVD",
"address_2": "SUITE 300A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103512",
"telephone_number": "323-866-1880",
"fax_number": "323-866-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAKES DR STE 320",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902938",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGGIE",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-25",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-16612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.