Active NPI
Laura Abigail Ansari, RBT
- Behavior Analyst
- Lake Elsinore, CA
National Provider Identifier
1033765276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB510948
- Practice address
- 197 S Nebraska St
Lake Elsinore, CA 92530-1854 - Phone
- (951) 409-6786
- NPI assigned
- Aug 14, 2019
- 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 | BACB510948 | CA | Primary |
Addresses
Primary practice location
197 S Nebraska St
Lake Elsinore, CA 92530-1854
Mailing address
25190 Hancock Ave Ste C
Murrieta, CA 92562-5984
Phone (951) 200-5532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCF572M81739 | Other | UNDER MY HUSBANDS INSURANCE (ANTHEM BLUE CROSS) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB510948 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1033765276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25190 HANCOCK AVE STE C",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625984",
"telephone_number": "951-200-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 S NEBRASKA ST",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925301854",
"telephone_number": "951-409-6786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "LAURA",
"middle_name": "ABIGAIL",
"name_prefix": "Mrs.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BACB510948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNDER MY HUSBANDS INSURANCE (ANTHEM BLUE CROSS)",
"identifier": "NCF572M81739",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.