Active NPI
Terra Dawn Oehler, M.S., BCBA
- Behavior Analyst
- Modesto, CA
National Provider Identifier
1821440645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22269
- Practice address
- 1620 N Carpenter Rd Ste C19
Modesto, CA 95351-1156 - Phone
- (209) 900-3722
- Fax
- (209) 859-9005
- NPI assigned
- Jul 5, 2016
- 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 | 1-16-22269 | CA | Primary |
Addresses
Primary practice location
1620 N Carpenter Rd Ste C19
Modesto, CA 95351-1156
Mailing address
4605 Via Giardiano
Modesto, CA 95357-0661
Phone (209) 900-3722
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learning Institute for Functional Education (L.I.F.E.) | Behavior Analyst | Current | Accepting new patients |
Locations
1620 N Carpenter Rd
Ste C19
Modesto, CA 95351
Phone (209) 900-3722
5716 Pirrone Rd
Salida, CA 95368
Phone (209) 557-7466
Organizations & group practices 1
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.
-
- Behavior Analyst
- Modesto, CA
- NPI 1184128571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1821440645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 VIA GIARDIANO",
"city": "MODESTO",
"state": "CA",
"postal_code": "953570661",
"telephone_number": "209-900-3722",
"fax_number": "209-545-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE C19",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511156",
"telephone_number": "209-900-3722",
"fax_number": "209-859-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEHLER",
"first_name": "TERRA",
"middle_name": "DAWN",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-22269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.