NPIMap

Organization Active NPI

Lively Behavioral Solutions LLC

  • Behavior Analyst
  • Huntington Beach, CA
National Provider Identifier
1255062147
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIVELY BEHAVIORAL SOLUTIONS LLC
Practice address
8442 Reilly Dr
Huntington Beach, CA 92646
Phone
(513) 504-9466
Fax
(949) 607-2963
NPI assigned
Jun 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Gabriella Joy Nelson, BCBANPI 1780190710
Title
Ceo
Phone
(661) 300-1272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8442 Reilly Dr
Huntington Beach, CA 92646

Mailing address

8442 Reilly Dr
Huntington Beach, CA 92646
Phone (513) 504-9466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1255062147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8442 REILLY DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92646",
            "telephone_number": "513-504-9466",
            "fax_number": "949-607-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8442 REILLY DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92646",
            "telephone_number": "513-504-9466",
            "fax_number": "949-607-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELY BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-03-14",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-300-1272",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.