Individual provider Active NPI

Iris Joanne Alvarez, B.A., BCABA

  • Behavior Analyst
  • Tarzana, CA
National Provider Identifier
1154677565
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16232 Issued in CA
Practice address
5554 Reseda Blvd Ste 203
Tarzana, CA 91356-6212
Phone
(818) 705-5522
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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 0-11-4117 CA
Behavior Analyst 103K00000X 1-14-16232 CA Primary

Addresses

Primary practice location

5554 Reseda Blvd Ste 203
Tarzana, CA 91356-6212

Mailing address

15643 Sherman Way Ste 220
Van Nuys, CA 91406-4174
Phone (818) 232-7940

Other practice location 1

15643 Sherman Way Ste 220
Van Nuys, CA 91406-4174
Phone (818) 232-7940

Other identifiers 1

IdentifierTypeStateIssuer
1-14-16232OtherCABCBA CERTIFICATE NUMBER

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
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Learning and Behavioral Center PastSince Jan 17, 2022 Accepting new patients
Learning and Behavioral Center. LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1154677565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY STE 220",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064174",
            "telephone_number": "818-232-7940",
            "fax_number": "818-782-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD STE 203",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566212",
            "telephone_number": "818-705-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15643 Sherman Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914064174",
            "country_code": "US",
            "telephone_number": "818-232-7940",
            "fax_number": "818-782-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "IRIS",
        "middle_name": "JOANNE",
        "name_prefix": "Miss",
        "credential": "B.A., BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-11-4117",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE NUMBER",
            "identifier": "1-14-16232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.