Individual provider Active NPI

Jorge Leal

  • Behavior Analyst
  • Panorama City, CA
National Provider Identifier
1245804004
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
14500 Roscoe Blvd FL 4
Panorama City, CA 91402-4194
Phone
(661) 741-2561
Fax
(800) 852-3387
NPI assigned
May 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 Primary

Addresses

Primary practice location

14500 Roscoe Blvd FL 4
Panorama City, CA 91402-4194

Mailing address

7120 Hayvenhurst Ave Ste 322
Van Nuys, CA 91406-3813
Phone (800) 930-5773

Other practice location 1

7120 Hayvenhurst Ave Ste 322
Van Nuys, CA 91406-3813
Phone (800) 930-5773

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
Developmental Pathways, Inc Behavior Analyst CurrentSince Jan 15, 2023 Accepting new patients
Inclusive and Extensive Autism Services Behavior Analyst Current Accepting new patients
Developmental Pathways Care Inc Behavior Analyst CurrentSince Nov 24, 2025 Accepting new patients

Locations

14500 Roscoe Blvd
Fl 4
Panorama City, CA 91402
Phone (818) 714-2022

7120 Hayvenhurst Ave
Ste 322
Van Nuys, CA 91406
Phone (714) 867-3813

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1245804004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE STE 322",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "800-930-5773",
            "fax_number": "800-930-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD FL 4",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024194",
            "telephone_number": "661-741-2561",
            "fax_number": "800-852-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 Hayvenhurst Ave Ste 322",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063813",
            "country_code": "US",
            "telephone_number": "800-930-5773",
            "fax_number": "800-930-7957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "JORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.