Active NPI
Institutue for Behavioral Health
- Behavior Analyst
- Redlands, CA
National Provider Identifier
1922473420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-9853
- Legal business name
- INSTITUTUE FOR BEHAVIORAL HEALTH
- Practice address
- 410 Alabama St
Redlands, CA 92373 - Phone
- (909) 289-1041
- NPI assigned
- Dec 9, 2015
- 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
- Yuki Jen
- Title
- Case Supervisor
- Phone
- (949) 295-6144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-9853 | CA | Primary |
Addresses
Primary practice location
410 Alabama St
Redlands, CA 92373
Mailing address
20827 Sonoita Dr
Walnut, CA 91789
National Provider Directory
National Provider DirectoryLocations
410 Alabama St
Redlands, CA 92373
Phone (909) 289-1041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1922473420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20827 SONOITA DR",
"city": "WALNUT",
"state": "CA",
"postal_code": "91789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 ALABAMA ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-289-1041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTUE FOR BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "JEN",
"authorized_official_first_name": "YUKI",
"authorized_official_title_or_position": "CASE SUPERVISOR",
"authorized_official_telephone_number": "949-295-6144"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-9853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.