Individual provider Active NPI

Shirin Ghesser, M.A., BCBA

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1255759916
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-15106 Issued in CA
Practice address
1722 1/2 Colorado Blvd
Los Angeles, CA 90041-1338
Phone
(323) 744-1314
Fax
(323) 544-0991
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 1-14-15106 CA Primary

Addresses

Primary practice location

1722 1/2 Colorado Blvd
Los Angeles, CA 90041-1338

Mailing address

1722 1/2 Colorado Blvd
Los Angeles, CA 90041-1338
Phone (323) 744-1314

Other practice location 1

17595 Almahurst St Ste 100A
City Of Industry, CA 91748-1792
Phone (855) 223-7123

Other practice location 2

16600 Sherman Way Ste 105
Van Nuys, CA 91406-3876
Phone (818) 991-7722

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
California Behavioral Care, LLC Behavior Analyst PastSince May 4, 2025 Accepting new patients
Quality Behavior Solutions, LLC Behavior Analyst PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 2

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1255759916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 1/2 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411338",
            "telephone_number": "323-744-1314",
            "fax_number": "323-544-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 1/2 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411338",
            "telephone_number": "323-744-1314",
            "fax_number": "323-544-0991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17595 Almahurst St Ste 100A",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481792",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 Sherman Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063876",
            "country_code": "US",
            "telephone_number": "818-991-7722",
            "fax_number": "818-991-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHESSER",
        "first_name": "SHIRIN",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-15106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 4, 2020; 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.