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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CODY LYLE HARSTAD

Active Sole Proprietor

CODY LYLE HARSTAD is a Behavior Analyst healthcare provider located in RIVERBANK, California. NPI 1700479284 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · RIVERBANK, CA

Registration Details

NPI Number
1700479284
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2021 (5.345694602859 yrs)
Last Updated
Feb 20, 2025
License
1-24-75036 (CA)
Sole Proprietor
Yes

Practice Information

Address
5501 ANTIQUE ROSE WAY
RIVERBANK, CA, 953679505
Browse CA providers · Browse ZIP 95367
Phone
8665234268
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in RIVERBANK, CA

Name Credential NPI
KELLY GLORIA BCBA, MA 1447655253
NATALIE LIBBY BCBA 1487037115
ROBYN JONES M.S. 1720430846
DANIELLE LARANJO BCBA 1831542901
BERNARD KARAMGOLPASHIN 1053831792
JACOB EDWARDS BCBA 1124547427
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.