Active NPI
Faunamin Jimenez
- Behavior Analyst
- Van Nuys, CA
National Provider Identifier
1154684231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- E2945234
- Practice address
- 7120 Hayvenhurst Ave
Suite 401
Van Nuys, CA 91406-3843 - Phone
- (818) 909-2253
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | E2945234 | CA | Primary |
Addresses
Primary practice location
7120 Hayvenhurst Ave
Suite 401
Van Nuys, CA 91406-3843
Mailing address
7401 Paso Robles Ave
Van Nuys, CA 91406-2615
Phone (818) 900-9225
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
| License | State | Type | Specialty |
|---|---|---|---|
| E2945234 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavior & Learning Enterprises | Behavior Analyst | 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.
-
- Behavior Analyst
- Van Nuys, CA
- NPI 1972841765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1154684231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 PASO ROBLES AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914062615",
"telephone_number": "818-900-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 HAYVENHURST AVE",
"address_2": "SUITE 401",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063843",
"telephone_number": "818-909-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "FAUNAMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "E2945234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.