Individual provider Active NPI

Angela Harper

  • Behavior Analyst
  • El Sobrante, CA
National Provider Identifier
1811759533
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3575 San Pablo Dam Rd Ste 11
El Sobrante, CA 94803-7205
Phone
(503) 780-0292
Fax
(503) 296-5396
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3575 San Pablo Dam Rd Ste 11
El Sobrante, CA 94803-7205

Mailing address

PO Box 70332
Springfield, OR 97475-0118
Phone (503) 780-0292

Other practice location 1

32663 Bush Garden Dr
Harrisburg, OR 97446-9751
Phone (503) 780-0292

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

OrganizationSpecialtyStatusNew patients
The Abc Group, L.L.C. Behavior Analyst PastSince Mar 26, 2023 Accepting new patients
A Behavioral Health Cooperative, L.L.C. Behavior Analyst PastSince Jul 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1811759533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70332",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750118",
            "telephone_number": "503-780-0292",
            "fax_number": "503-296-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 SAN PABLO DAM RD STE 11",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948037205",
            "telephone_number": "503-780-0292",
            "fax_number": "503-296-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32663 Bush Garden Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "OR",
            "postal_code": "974469751",
            "country_code": "US",
            "telephone_number": "503-780-0292",
            "fax_number": "503-296-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Sobrante, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.