Active NPI
Quality Life Experience
- Assistant Behavior Analyst
- Sherman Oaks, CA
National Provider Identifier
1053870741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Legal business name
- QUALITY LIFE EXPERIENCE
- Practice address
- 4723 1/4 Vista del Monte
Sherman Oaks, CA 91403 - Phone
- (818) 456-2470
- NPI assigned
- Mar 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Errol Edward Small Jr., M.A.
- Title
- President/Ceo
- Phone
- (818) 456-2470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
4723 1/4 Vista del Monte
Sherman Oaks, CA 91403
Mailing address
4723 1/4 Vista del Monte
Sherman Oaks, CA 91403
Phone (818) 456-2470
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552435200000",
"number": "1053870741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4723 1/4 VISTA DEL MONTE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-456-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4723 1/4 VISTA DEL MONTE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-456-2470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY LIFE EXPERIENCE",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A",
"authorized_official_last_name": "SMALL",
"authorized_official_first_name": "ERROL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-456-2470",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.