Individual provider Active NPI

Catherine C. Lichtenberger, MFT, BCBA

  • Behavior Analyst
  • Sherman Oaks, CA
National Provider Identifier
1205110418
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MFC 41536 Issued in CA
Practice address
13440 Ventura Blvd Ste 102
Sherman Oaks, CA 91423-6150
Phone
(805) 338-0359
Fax
(805) 495-0572
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 MFC 41536 CA Primary

Addresses

Primary practice location

13440 Ventura Blvd Ste 102
Sherman Oaks, CA 91423-6150

Mailing address

2060 E Avenida de Los Arboles # D275
Thousand Oaks, CA 91362-1361
Phone (805) 338-0359

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

LicenseStateTypeSpecialty
MFC 41536CAMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1205110418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E AVENIDA DE LOS ARBOLES # D275",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621361",
            "telephone_number": "805-338-0359",
            "fax_number": "805-495-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 VENTURA BLVD STE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236150",
            "telephone_number": "805-338-0359",
            "fax_number": "805-495-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENBERGER",
        "first_name": "CATHERINE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "MFT, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "MFC 41536",
            "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 Oct 6, 2011; 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.