Jeremy Leaf, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11830066 Issued in CA

Practice address

200 Marina Dr
Seal Beach, CA 90740-6023

Phone

(562) 431-9293

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism Partnership, LLC

  • Clinical Psychologist
  • Seal Beach, CA
  • NPI 1003182817

  Behavior Analyst

  NPD (past)
• Progressive Behavioral Psychology Services New York PC

  dba Autism Partnership New York

  • Behavior Analyst
  • New York, NY
  • NPI 1326716317
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1861953150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARINA DR",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406023",
            "telephone_number": "562-431-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARINA DR",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406023",
            "telephone_number": "562-431-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAF",
        "first_name": "JEREMY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11830066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "11830066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Lally
• Paulina Laurent, CERTIFIED KHMER INT
• Michael Eugene Lawlor, DDS
• Gale Lawrence, M.D.
• CHI Le
• Ronald Burton Leaf, PH.D.
• Lee S Berman OD Inc (Triangle Eye Care Optometry of Long Beach)
• Jennifer Lee, PHARMD
• Melinda Lee, D.D.S.
• Jared Leeper

• Behavior Analyst in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.