Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700479284 Individual Practitioner Male Practitioner

Cody Lyle Harstad

Behavior Analyst • Riverbank, CA

Professional Overview & Biography Verified Profile Summary

Cody Harstad is a registered healthcare professional specializing in Behavior Analyst in Riverbank, CA. Practice services are available at 5501 ANTIQUE ROSE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5501 Antique Rose Way

Riverbank, CA 953679505

Telephone 8665234268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Riverbank, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Riverbank, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-24-75036

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003317033

Board Certified Behavior Analyst, Licensed Behavior Analyst

Briana Cerda

Behavior Technician

NPI 1003400904
Gregory Theodore

Behavior Technician

NPI 1003401555
Ada Ha

Behavior Analyst

NPI 1003404260
Shanthel Holliday

Behavior Technician

NPI 1003406893
Madison Crew

Behavior Technician

NPI 1003410804

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2025

Behavior Analyst (License #1-24-75036 in CA)

NPI Profile Active February 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2021

Registered at 5501 ANTIQUE ROSE WAY, RIVERBANK, CA 953679505 (Tel: 8665234268)

📍
Updated Business Mailing Address February 16, 2021

Registered at PO BOX 399318, SAN FRANCISCO, CA 941399318 (Tel: 8665234268)

👤
Provider Name / Credentials Updated February 16, 2021

Recorded as CODY HARSTAD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700479284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2021
Last Update: February 20, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 399318

San Francisco, CA 941399318

Phone: 8665234268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.