Individual provider Active NPI

Brenda Monterde, BCBA

  • Behavior Analyst
  • Sherman Oaks, CA
National Provider Identifier
1194122952
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16087 Issued in CA
Practice address
15315 Magnolia Blvd
Ste 428
Sherman Oaks, CA 91403-1173
Phone
(818) 406-2103
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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 1-14-16087 CA Primary

Addresses

Primary practice location

15315 Magnolia Blvd
Ste 428
Sherman Oaks, CA 91403-1173

Mailing address

15315 Magnolia Blvd
Ste 428
Sherman Oaks, CA 91403-1173
Phone (818) 406-2103

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1194122952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD",
            "address_2": "STE 428",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031173",
            "telephone_number": "818-406-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD",
            "address_2": "STE 428",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031173",
            "telephone_number": "818-406-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERDE",
        "first_name": "BRENDA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.