Active NPI
Gisselle Blas
- Behavior Analyst
- Orange, CA
National Provider Identifier
1235855024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 140 S Flower St Ste 100
Orange, CA 92868-3467 - Phone
- (714) 683-5876
- NPI assigned
- Oct 13, 2022
- Last updated
- Oct 13, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
140 S Flower St Ste 100
Orange, CA 92868-3467
Mailing address
135 1/2 S 7TH Ave
La Puente, CA 91746-3212
Phone (626) 541-1687
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": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1235855024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 1/2 S 7TH AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917463212",
"telephone_number": "626-541-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S FLOWER ST STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683467",
"telephone_number": "714-683-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAS",
"first_name": "GISSELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.