Active NPI
Jose Davila, BCBA
- Behavior Analyst
- North Hills, CA
National Provider Identifier
1023309218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8113
- Practice address
- 16719 Roscoe Blvd
North Hills, CA 91343-6110 - Phone
- (800) 418-9319
- Fax
- (800) 861-3759
- NPI assigned
- Apr 22, 2011
- Last updated
- Apr 22, 2011
- Sex
- Male
- 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 | 1-11-8113 | Primary |
Addresses
Primary practice location
16719 Roscoe Blvd
North Hills, CA 91343-6110
Mailing address
16719 Roscoe Blvd
North Hills, CA 91343-6110
Phone (800) 418-9319
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1023309218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16719 ROSCOE BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913436110",
"telephone_number": "800-418-9319",
"fax_number": "800-861-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16719 ROSCOE BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913436110",
"telephone_number": "800-418-9319",
"fax_number": "800-861-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "JOSE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.