NPIMap

Organization Active NPI

McRory Behavioral & Family Support Services

  • Behavior Analyst
  • Encino, CA
National Provider Identifier
1104188499
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9432 Issued in CA
Legal business name
MCRORY BEHAVIORAL & FAMILY SUPPORT SERVICES
Practice address
17609 Ventura Blvd Ste 215
Encino, CA 91316-5126
Phone
(818) 501-8352
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Allexis Abdo, MS, BCBA
Title
ABA Supervisor
Phone
(818) 501-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-11-9432 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 215
Encino, CA 91316-5126

Mailing address

17609 Ventura Blvd Ste 215
Encino, CA 91316-5126
Phone (818) 501-8352

National Provider Directory

National Provider Directory
Tax ID family
McRory Pediatric Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1104188499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165126",
            "telephone_number": "818-501-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165126",
            "telephone_number": "818-501-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRORY BEHAVIORAL & FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "ALLEXIS",
        "authorized_official_title_or_position": "ABA SUPERVISOR",
        "authorized_official_telephone_number": "818-501-8352",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-9432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.