Andrew Ben-Porat
Individual provider Active NPI Behavior Technician · Calabasas, CA
NPI 1154112191 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1154112191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5741 Las Virgenes Rd Ste a
Calabasas, CA 91302-1273 - Phone
- (818) 712-8250
- Fax
- (818) 712-8289
- NPI assigned
- May 16, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
5741 Las Virgenes Rd Ste a
Calabasas, CA 91302-1273
Mailing address
119 W Torrance Blvd Ste 100
Redondo Beach, CA 90277-3600
Phone (310) 374-3300
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All providers in Calabasas, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.