Individual provider Active NPI

Oliesha Young, BCBA

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1235746801
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44219 Issued in CA
Practice address
4401 Crenshaw Blvd Ste 220
Los Angeles, CA 90043-1200
Phone
(323) 949-1785
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 1-20-44219 CA Primary

Addresses

Primary practice location

4401 Crenshaw Blvd Ste 220
Los Angeles, CA 90043-1200

Mailing address

3633 W 59TH PL
Los Angeles, CA 90043-2903

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oyoung@specialneedsnetwork.org Direct SPECIAL NEEDS NETWORK, INC

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

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Behavior Behavior Analyst Current Accepting new patients
California Sprout MC 1 LLC Behavior Analyst Past Accepting new patients
Junior Boom ABA LLC Behavior Analyst Past Accepting new patients

Locations

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1235746801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W 59TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CRENSHAW BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431200",
            "telephone_number": "323-949-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "OLIESHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-44219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oyoung@specialneedsnetwork.org",
            "affiliation": "Y",
            "endpointDescription": "Secure Email",
            "affiliationName": "SPECIAL NEEDS NETWORK, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 Crenshaw Blvd Ste 220",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900431200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.