NPIMap

Organization Active NPI

Jessica Lieber, M.S., Bcba

Doing business as Forward Behavior

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1124534623
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-6533 Issued in CA
Legal business name
JESSICA LIEBER, M.S., BCBA
Doing business as
Forward Behavior
Practice address
6426 W 5TH St
Los Angeles, CA 90048-4710
Phone
(818) 804-9219
NPI assigned
Dec 19, 2017
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Jessica Lieber, M.S., BCBANPI 1497096135
Title
Executive Director / Owner
Phone
(323) 452-9065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-09-6533 CA Primary

Addresses

Primary practice location

6426 W 5TH St
Los Angeles, CA 90048-4710

Mailing address

6426 W 5TH St
Los Angeles, CA 90048-4710
Phone (818) 804-9219

Other names 1

  • Forward Behavior Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1124534623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 W 5TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484710",
            "telephone_number": "818-804-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 W 5TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484710",
            "telephone_number": "818-804-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LIEBER, M.S., BCBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "LIEBER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / OWNER",
        "authorized_official_telephone_number": "323-452-9065",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.