Jenna Bush, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CERT-1-18-30110 Issued in CA

Practice address

5318 Laurel Canyon Blvd Ste 101
Valley Village, CA 91607-4928

Phone

(818) 423-2215

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nurture and Nature ABA and Consultation

  • Community/Behavioral Health Agency
  • Valley Village, CA
  • NPI 1831565795
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1255824751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 LAUREL CANYON BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074928",
            "telephone_number": "818-423-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 LAUREL CANYON BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074928",
            "telephone_number": "818-423-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JENNA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "CERT-1-18-30110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-18-30110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamilet Bran
• Bright Haven Psychology PC
• Brightmind Sleep Center Inc
• Alan Ray Brody, D.D.S,M.S
• Emanuela Buchalter, LMFT
• Yasmin Cabrera
• Jeannine Lemare Calaba, PSY.D.
• California Ara Clinic Inc
• California Care Hospice Inc.
• Marleen Clarisa Can

• Behavior Analyst in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.