Active NPI
Melissa Evans, BCBA
- Behavior Analyst
- San Marcos, CA
National Provider Identifier
1194130484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-16189
- Practice address
- 334 Via Vera Cruz
San Marcos, CA 92078-2635 - Phone
- (760) 304-5010
- Fax
- (760) 539-9849
- NPI assigned
- Jun 25, 2014
- 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 | 1-14-16189 | CA | Primary |
Addresses
Primary practice location
334 Via Vera Cruz
San Marcos, CA 92078-2635
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 345-2345
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": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1194130484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-345-2345",
"fax_number": "818-758-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 VIA VERA CRUZ",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782635",
"telephone_number": "760-304-5010",
"fax_number": "760-539-9849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MELISSA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-16189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.