Elite Behavioral Therapies, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ELITE BEHAVIORAL THERAPIES, INC.

Practice address

4501 Cedros Ave
Suite 124
Sherman Oaks, CA 91403-2801

Phone

(818) 835-3284

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Dawn Sepideh Fassih, M.S., BCBA

Title

Executive Clinical Director, Ceo

Phone

(818) 835-3284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1346667144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 CEDROS AVE",
            "address_2": "SUITE 124",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032801",
            "telephone_number": "818-835-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CEDROS AVE",
            "address_2": "SUITE 124",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032801",
            "telephone_number": "818-835-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BEHAVIORAL THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "FASSIH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "SEPIDEH",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR, CEO",
        "authorized_official_telephone_number": "818-835-3284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.