Cody Lyle Harstad

Behavior Analyst · Riverbank, CA

Individual Active NPI

NPI number 1700479284

Practice location

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone
(866) 523-4268

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NPI record

NPI
1700479284
Entity type
Individual (Type 1)
Enumeration date
February 16, 2021
Last updated
February 20, 2025
Certified
February 20, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-24-75036 CA

Mailing address

PO Box 399318
San Francisco, CA 94139-9318
Phone
(866) 523-4268

About Cody Harstad

Cody Lyle Harstad is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5501 Antique Rose Way, Riverbank, CA 95367-9505. The NPI number 1700479284 was assigned on February 16, 2021 and the record was last updated on February 20, 2025.

Cody Harstad lists a license in the registry: #1-24-75036 (CA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cody Lyle Harstad?

The NPI number is 1700479284.

What is the phone number of Cody Harstad?

The phone number listed for the practice location is (866) 523-4268.

Where is Cody Harstad located?

5501 Antique Rose Way, Riverbank, CA 95367-9505.

What is the taxonomy code for Cody Harstad?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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