Active NPI
Beyond Barriers, Inc.
- Behavior Analyst
- Lodi, CA
National Provider Identifier
1871363358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BEYOND BARRIERS, INC.
- Practice address
- 1040 W Kettleman LN # 180
Lodi, CA 95240-6070 - Phone
- (209) 747-7517
- NPI assigned
- Jan 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne Nakagawa, BCBA
- Title
- Behavior Consultant
- Phone
- (209) 747-7517
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1040 W Kettleman LN # 180
Lodi, CA 95240-6070
Mailing address
1040 W Kettleman LN # 180
Lodi, CA 95240-6070
Phone (209) 747-7517
National Provider Directory
National Provider DirectoryLocations
1040 W Kettleman Ln
#180
Lodi, CA 95240
Phone (209) 747-7517
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Lodi, CA
- NPI 1952772279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1871363358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 W KETTLEMAN LN # 180",
"city": "LODI",
"state": "CA",
"postal_code": "952406070",
"telephone_number": "209-747-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W KETTLEMAN LN # 180",
"city": "LODI",
"state": "CA",
"postal_code": "952406070",
"telephone_number": "209-747-7517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND BARRIERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "NAKAGAWA",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "BEHAVIOR CONSULTANT",
"authorized_official_telephone_number": "209-747-7517",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.