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

Cody Lyle Harstad

Individual provider Behavior Analyst · NPI 1700479284

Cody Lyle Harstad is a Behavior Analyst in Riverbank, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (866) 523-4268
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-75036 (CA)

Record details

NPI number1700479284
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing addressPo Box 399318, San Francisco, CA 94139-9318

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