Individual provider Active NPI

Kourage Proby, BCBA

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1174309876
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-79170
Practice address
4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Phone
(323) 291-7100
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-79170 Primary

Addresses

Primary practice location

4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200

Mailing address

4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Phone (323) 291-7100

Other practice location 1

3705 W Memorial Rd Ste 702
Oklahoma City, OK 73134-1507
Phone (866) 614-2011

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1174309876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 CRENSHAW BLVD STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431200",
            "telephone_number": "323-291-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CRENSHAW BLVD STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431200",
            "telephone_number": "323-291-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 W Memorial Rd Ste 702",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731341507",
            "country_code": "US",
            "telephone_number": "866-614-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROBY",
        "first_name": "KOURAGE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-25-79170",
            "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 May 27, 2026; 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.