NPIMap

Organization Active NPI

Key Essentials to Behavior Management, Corp

  • Behavior Analyst
  • Rancho Cucamonga, CA
National Provider Identifier
1639680481
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23436 Issued in CA
Legal business name
KEY ESSENTIALS TO BEHAVIOR MANAGEMENT, CORP
Practice address
9333 Baseline Rd Ste 290
Rancho Cucamonga, CA 91730-1300
Phone
(909) 320-8300
Fax
(951) 346-3640
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Lakeysha L Cobbs-Hayes, BCBANPI 1215488176
Title
Ceo
Phone
(909) 304-1353

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-16-23436 CA Primary

Addresses

Primary practice location

9333 Baseline Rd Ste 290
Rancho Cucamonga, CA 91730-1300

Mailing address

9333 Baseline Rd Ste 290
Rancho Cucamonga, CA 91730-1300
Phone (909) 320-8300

Other practice location 1

3185 N Garey Ave
Pomona, CA 91767-1367
Phone (909) 755-5220

National Provider Directory

National Provider Directory

Locations

17070 Walnut Village Pkwy
Ste K
Fontana, CA 92336
Phone (909) 320-8300

44105 Jackson St
Ste 101102
Indio, CA 92201

3185 N Garey Ave
Pomona, CA 91767
Phone (909) 755-5220

1900 N D St
San Bernardino, CA 92405
Phone (909) 755-5220

3500 Loop Rd
Ste C2
McDonough, GA 30253
Phone (470) 333-0558

Practitioners & affiliated clinicians

Practitioners 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1639680481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 BASELINE RD STE 290",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301300",
            "telephone_number": "909-320-8300",
            "fax_number": "951-346-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 BASELINE RD STE 290",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301300",
            "telephone_number": "909-320-8300",
            "fax_number": "951-346-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3185 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671367",
            "country_code": "US",
            "telephone_number": "909-755-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEY ESSENTIALS TO BEHAVIOR MANAGEMENT, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "COBBS-HAYES",
        "authorized_official_first_name": "LAKEYSHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-304-1353",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-23436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.