Active NPI
Nathaniel Naces, QASP
- Behavior Analyst
- Tarzana, CA
National Provider Identifier
1053968453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 19019 Ventura Blvd
Tarzana, CA 91356-3253 - Phone
- (818) 501-8352
- Fax
- (818) 501-8325
- NPI assigned
- Aug 20, 2019
- 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 | Primary |
Addresses
Primary practice location
19019 Ventura Blvd
Tarzana, CA 91356-3253
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 501-8352
Other practice location 1
28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090
Phone (661) 388-5945
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": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1053968453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-501-8352",
"fax_number": "818-501-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-501-8352",
"fax_number": "818-501-8325"
}
],
"practiceLocations": [
{
"address_1": "28212 Kelly Johnson Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913555090",
"country_code": "US",
"telephone_number": "661-388-5945",
"fax_number": "818-501-8325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NACES",
"first_name": "NATHANIEL",
"credential": "QASP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.