Organization Active NPI

Behavior Hub LLC

  • Behavior Analyst
  • San Leandro, CA
National Provider Identifier
1871308932
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR HUB LLC
Practice address
16092 Wellington Way
San Leandro, CA 95336
Phone
(831) 204-0363
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Authorized official

Name
Clarissa H Jackson, BCBANPI 1467953364
Title
Owner/Ceo
Phone
(510) 214-6197

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 SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

16092 Wellington Way
San Leandro, CA 95336

Mailing address

455 Market St Ste 1940
San Francisco, CA 94105-2448
Phone (510) 214-6197

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752883200000",
    "number": "1871308932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MARKET ST STE 1940",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052448",
            "telephone_number": "510-214-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16092 WELLINGTON WAY",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "95336",
            "telephone_number": "831-204-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "510-214-6197",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.