Active NPI
Ralph Louis Bravo
- Behavior Analyst
- Los Angeles, CA
National Provider Identifier
1295315133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-48325
- Practice address
- 417 S Hill St Ste 208
Los Angeles, CA 90013-1217 - Phone
- (310) 801-5881
- NPI assigned
- Apr 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 1-21-48325 | CA | Primary |
Addresses
Primary practice location
417 S Hill St Ste 208
Los Angeles, CA 90013-1217
Mailing address
1164 N Eastman Ave
Los Angeles, CA 90063-2137
Phone (310) 801-5881
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": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1295315133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 N EASTMAN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900632137",
"telephone_number": "310-801-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S HILL ST STE 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131217",
"telephone_number": "310-801-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "RALPH",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-48325",
"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 Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.