Active NPI
Nataly Estrada, BCBA
- Behavior Analyst
- Culver City, CA
National Provider Identifier
1063287209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64681
- Practice address
- 5800 Hannum Ave Ste B
Culver City, CA 90230-6525 - Phone
- (424) 362-8405
- NPI assigned
- Nov 17, 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 Analyst | 103K00000X | 1-23-64681 | Primary |
Addresses
Primary practice location
5800 Hannum Ave Ste B
Culver City, CA 90230-6525
Mailing address
11173 Piggott Dr
Culver City, CA 90232-3909
Phone (310) 486-2943
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": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1063287209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11173 PIGGOTT DR",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323909",
"telephone_number": "310-486-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 HANNUM AVE STE B",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306525",
"telephone_number": "424-362-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "NATALY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-23-64681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.