Jensen Leano

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35433

Practice address

1555 N Verdugo Rd Ste 201
Glendale, CA 91208-3207

Phone

(833) 968-7762

NPI assigned

Apr 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1225691702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18611 COLLINS ST APT E34",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562167",
            "telephone_number": "818-687-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N VERDUGO RD STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083207",
            "telephone_number": "833-968-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18611 Collins St Apt E34",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913562167",
            "country_code": "US",
            "telephone_number": "818-687-9373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEANO",
        "first_name": "JENSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-35433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Glendale, CA
• Providers in Glendale, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.