Active NPI
Farahna Dahaj
- Behavior Technician
- Garden Grove, CA
National Provider Identifier
1053089284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12465 Lewis St Ste 102
Garden Grove, CA 92840-4658 - Phone
- (855) 223-7123
- NPI assigned
- Sep 2, 2021
- Last updated
- May 11, 2023
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Mailing address
3275 S Sepulveda Blvd Apt 209
Los Angeles, CA 90034-5224
Phone (818) 376-9617
Other practice location 1
11900 W Olympic Blvd Ste 520
Los Angeles, CA 90064-1183
Phone (888) 805-0759
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": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1053089284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3275 S SEPULVEDA BLVD APT 209",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345224",
"telephone_number": "818-376-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12465 LEWIS ST STE 102",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404658",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [
{
"address_1": "11900 W Olympic Blvd Ste 520",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900641183",
"country_code": "US",
"telephone_number": "888-805-0759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHAJ",
"first_name": "FARAHNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.