Active NPI
Fhelycia M Ennin
- Behavior Analyst
- Riverside, CA
National Provider Identifier
1013540277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 01-19-35889
- Practice address
- 2900 Adams St Ste C25
Riverside, CA 92504-8312 - Phone
- (888) 428-3223
- Fax
- (323) 866-1881
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 01-19-35889 | CA | Primary |
Addresses
Primary practice location
2900 Adams St Ste C25
Riverside, CA 92504-8312
Mailing address
501 Shatto PL Ste 100
Los Angeles, CA 90020-1747
Phone (888) 428-3223
Other practice location 1
6370 Magnolia Ave Ste 340
Riverside, CA 92506-2404
Phone (888) 428-3223
Other practice location 2
3450 Centre Lake Dr Ste 150
Ontario, CA 91761-7615
Phone (888) 428-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercare Therapy, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1184916496
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1013540277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SHATTO PL STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201747",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 ADAMS ST STE C25",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925048312",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
}
],
"practiceLocations": [
{
"address_1": "6370 Magnolia Ave Ste 340",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925062404",
"country_code": "US",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3450 Centre Lake Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917617615",
"country_code": "US",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENNIN",
"first_name": "FHELYCIA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "01-19-35889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.