Active NPI
Xiwen Fang, BCBA
- Behavior Analyst
- West Covina, CA
National Provider Identifier
1164286209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67729
- Practice address
- 1501 W Cameron Ave
West Covina, CA 91790-2724 - Phone
- (323) 302-9997
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- 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 | 1-23-67729 | CA | Primary |
Addresses
Primary practice location
1501 W Cameron Ave
West Covina, CA 91790-2724
Mailing address
1501 W Cameron Ave
West Covina, CA 91790-2724
Phone (323) 302-9997
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1164286209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 W CAMERON AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902724",
"telephone_number": "323-302-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W CAMERON AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902724",
"telephone_number": "323-302-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "XIWEN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-08",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-67729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
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- Shuguang Fan
- Abanub Farag
- Johana Farias-Estrada I
- Ginger Ann Farias, BS
- Fariborz Rodef DDS Inc (children's dental fun zone)
- Farzad Jacob Khoubian, MD Inc. (Advanced Eye Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.