Active NPI
Luis Abreu
- Behavior Analyst
- Los Angeles, CA
National Provider Identifier
1164062139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- Y4401657
- Practice address
- 972 Marietta St
Los Angeles, CA 90023-1404 - Phone
- (323) 519-8531
- NPI assigned
- Jan 8, 2020
- Last updated
- Jan 8, 2020
- Sex
- Male
- Sole proprietor
- No
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 | Y4401657 | CA | Primary |
Addresses
Primary practice location
972 Marietta St
Los Angeles, CA 90023-1404
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
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 |
|---|---|---|---|
| Y4401657 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1164062139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 MARIETTA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231404",
"telephone_number": "323-519-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "LUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "Y4401657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.