Active NPI
Talvin Robert Brown
- Behavior Analyst
- Los Angeles, CA
National Provider Identifier
1356802870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35336
- Practice address
- 4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200 - Phone
- (323) 291-7100
- NPI assigned
- Mar 27, 2019
- 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 | 1-19-35336 | CA | Primary |
Addresses
Primary practice location
4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200
Mailing address
3626 E Marcelle St
Compton, CA 90221-4445
Phone (562) 324-9097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-19-35336 | Other | CA | BACB |
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": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1356802870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 E MARCELLE ST",
"city": "COMPTON",
"state": "CA",
"postal_code": "902214445",
"telephone_number": "562-324-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CRENSHAW BLVD STE 215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431200",
"telephone_number": "323-291-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TALVIN",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-35336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-19-35336",
"state": "CA"
}
],
"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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.