Active NPI
Maiyia Lee
- Behavior Analyst
- Fresno, CA
National Provider Identifier
1679075170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58974
- Practice address
- 5169 N. Blythe Ave.
Suite 102
Fresno, CA 93722-8600 - Phone
- (559) 255-5900
- Fax
- (559) 981-1212
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- 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 | 1-22-58974 | CA | Primary |
Addresses
Primary practice location
5169 N. Blythe Ave.
Suite 102
Fresno, CA 93722-8600
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1679075170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GRANITE PKWY STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750246753",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 N. BLYTHE AVE.",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937228600",
"telephone_number": "559-255-5900",
"fax_number": "559-981-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MAIYIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2023-05-23",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-58974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.