Individual provider Active NPI

Maria Susana Brizuela, M.A., BCBA

  • Behavior Analyst
  • Canoga Park, CA
National Provider Identifier
1427402338
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-21933 Issued in CA
Practice address
7251 Owensmouth Ave Ste 6
Canoga Park, CA 91303-3962
Phone
(818) 997-2816
Fax
(818) 997-2819
NPI assigned
Apr 17, 2016
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-21933 CA Primary

Addresses

Primary practice location

7251 Owensmouth Ave Ste 6
Canoga Park, CA 91303-3962

Mailing address

7251 Owensmouth Ave Ste 6
Canoga Park, CA 91303-3962
Phone (818) 997-2816

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bahavioral Spectrum Solutions Behavior Analyst Current Accepting new patients

Locations

7251 Owensmouth Ave
Ste 6
Canoga Park, CA 91303
Phone (818) 883-4100

14416 Victory Blvd
Ste 225
Van Nuys, CA 91401

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1427402338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 OWENSMOUTH AVE STE 6",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033962",
            "telephone_number": "818-997-2816",
            "fax_number": "818-997-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 OWENSMOUTH AVE STE 6",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033962",
            "telephone_number": "818-997-2816",
            "fax_number": "818-997-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZUELA",
        "first_name": "MARIA",
        "middle_name": "SUSANA",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-21933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.