Life Learning Institute for Functional Education Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LIFE LEARNING INSTITUTE FOR FUNCTIONAL EDUCATION INC

Practice address

6518 Equestrian Dr
Riverbank, CA 95367-2571

Phone

(209) 222-0282

Fax

(209) 846-0917

NPI assigned

Mar 14, 2020

Organization subpart

No

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

Authorized official

Name

Terra Dawn Oehler, BCBA

Title

Owner

Phone

(209) 222-0282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584144000000",
    "number": "1922634633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 EQUESTRIAN DR",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672571",
            "telephone_number": "209-222-0282",
            "fax_number": "209-846-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 EQUESTRIAN DR",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672571",
            "telephone_number": "209-222-0282",
            "fax_number": "209-846-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LEARNING INSTITUTE FOR FUNCTIONAL EDUCATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A",
        "authorized_official_last_name": "OEHLER",
        "authorized_official_first_name": "TERRA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-222-0282",
        "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": []
}

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• Behavior Analyst in Riverbank, CA
• Providers in Riverbank, 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 14, 2020; 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.