Individual provider Active NPI

Sholeh Josefvangelin Arabia, MED, BCBA

  • Behavior Analyst
  • Pasadena, CA
National Provider Identifier
1063850121
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-12880 Issued in CA
Practice address
200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Phone
(818) 937-0882
Fax
(818) 937-0883
NPI assigned
Jun 11, 2013
Last updated
Sep 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-12880 CA Primary

Addresses

Primary practice location

200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552

Mailing address

4515 Ocean View Blvd Ste 320
La Canada, CA 91011-1438
Phone (818) 937-0882

Other identifiers 1

IdentifierTypeStateIssuer
1-13-12880OtherCABCBA

Other names 1

  • Sholeh Gaviria Former name

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Inizio Interventions, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1063850121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 320",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111438",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052552",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARABIA",
        "first_name": "SHOLEH",
        "middle_name": "JOSEFVANGELIN",
        "credential": "MED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-12880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-13-12880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOLEH",
            "last_name": "GAVIRIA",
            "credential": "MED, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.