Jacqueline Bautista Guinto Ganley, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3534 Issued in CA

Practice address

17203 Ventura Blvd
Suite 3
Encino, CA 91316-4051

Phone

(818) 501-3615

Fax

(818) 501-3649

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline Bautista Guinto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Behavior Intervention, Inc.

  • Community/Behavioral Health Agency
  • Encino, CA
  • NPI 1205101342
  NPD (past)

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1336415413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 VENTURA BLVD",
            "address_2": "SUITE 3",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164051",
            "telephone_number": "818-501-3615",
            "fax_number": "818-501-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 VENTURA BLVD",
            "address_2": "SUITE 3",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164051",
            "telephone_number": "818-501-3615",
            "fax_number": "818-501-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "JACQUELINE",
        "middle_name": "BAUTISTA GUINTO",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-07-3534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12208948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GUINTO",
            "middle_name": "BAUTISTA",
            "credential": "MS, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Gamliel, NP
• Nurelle Gamliel, PA-C
• Leeann Marie Gan, COTA/L
• Irina B Ganelis, MD
• Mahyar Ganjianpour
• Marilyn Garcia Fernandez
• Mario Garcia Llamas
• Alda Garcia
• Em Vitug Garcia, PHD, DHED, MBA, NP-C
• Felipe Garcia

• Behavior Analyst in Encino, CA
• Providers in Encino, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.