Prism Behavioral Solutions Inc

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

PRISM BEHAVIORAL SOLUTIONS INC

Practice address

21600 Oxnard St Ste 1030
Woodland Hills, CA 91367-5085

Phone

(818) 573-6822

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Maya Daeja HolleyNPI 1780274449

Title

Behavioral Therapist

Phone

(909) 802-0618

Specialties & licenses 1

Addresses

Other names 1

• prism behavioral therapy Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maya Daeja Holley

  • Behavior Technician
  • Woodland Hills, CA
  • NPI 1780274449
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1396331104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1030",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675085",
            "telephone_number": "877-206-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1030",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675085",
            "telephone_number": "818-573-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM BEHAVIORAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "DAEJA",
        "authorized_official_title_or_position": "BEHAVIORAL THERAPIST",
        "authorized_official_telephone_number": "909-802-0618"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prism behavioral therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "prism behavioral therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Technician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.