NPIMap

Organization Active NPI

California Institute of Behavior Analysis

Doing business as LeafWing Center

  • Early Intervention Provider Agency
  • Orange, CA
National Provider Identifier
1639316029
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
BCBA1-01-0404 Issued in CA
Legal business name
CALIFORNIA INSTITUTE OF BEHAVIOR ANALYSIS
Doing business as
LeafWing Center
Practice address
2127 W. Orangewood Ave.
#B
Orange, CA 92868
Phone
(714) 634-8500
Fax
(800) 832-2321
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Dr. John R Lubbers, PHDNPI 1063647550
Title
Executive Director
Phone
(818) 442-0921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC50185 CA
Early Intervention Provider Agency 252Y00000X BCBA1-01-0404 CA Primary

Addresses

Primary practice location

2127 W. Orangewood Ave.
#B
Orange, CA 92868

Mailing address

2127 W Orangewood Ave
#B
Orange, CA 92868-1954
Phone (714) 634-8500

Other names 1

  • LeafWing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1639316029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W ORANGEWOOD AVE",
            "address_2": "#B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681954",
            "telephone_number": "714-634-8500",
            "fax_number": "800-832-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W. ORANGEWOOD AVE.",
            "address_2": "#B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-634-8500",
            "fax_number": "800-832-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INSTITUTE OF BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "LUBBERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-442-0921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50185",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "BCBA1-01-0404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeafWing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.