Individual provider Active NPI

Sherry Hiller-Vasquez, BCBA

  • Behavior Analyst
  • Valley Glen, CA
National Provider Identifier
1124449269
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-12863 Issued in CA
Practice address
5726 Allott Ave
Valley Glen, CA 91401-4503
Phone
(818) 850-2923
NPI assigned
Dec 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-12863 CA Primary
Marriage & Family Therapist 106H00000X LMFT107867 CA

Addresses

Primary practice location

5726 Allott Ave
Valley Glen, CA 91401-4503

Mailing address

879 W 190TH St Ste 300
Gardena, CA 90248-4223
Phone (310) 819-4523

Other practice location 1

14724 Ventura Blvd Ste 1105
Sherman Oaks, CA 91403-3510
Phone (747) 298-3480

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

State licenses

LicenseStateTypeSpecialty
LMFT107867CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Healthcare Services, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1124449269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST STE 300",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484223",
            "telephone_number": "310-819-4523",
            "fax_number": "877-394-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 ALLOTT AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "914014503",
            "telephone_number": "818-850-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14724 Ventura Blvd Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033510",
            "country_code": "US",
            "telephone_number": "747-298-3480",
            "fax_number": "833-706-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLER-VASQUEZ",
        "first_name": "SHERRY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-12863",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT107867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Glen, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.