Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Behavioral Collective, Inc

Organization Behavior Analyst · NPI 1083542740

Legacy Behavioral Collective, Inc is a Behavior Analyst in LA Honda, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Redwood Dr
LA Honda, CA 94020-0332
Phone: (650) 799-4776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1083542740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juanita Traver Stine — Owner · (650) 799-4776
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 7, 2026
Mailing addressPo Box 332, La Honda, CA 94020-0332

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