NPIMap

Organization Active NPI

Institute for Applied Behavior Analysis

  • Behavior Analyst
  • Tarzana, CA
National Provider Identifier
1437496379
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS
Practice address
19510 Ventura Blvd
Tarzana, CA 91356-2969
Phone
(818) 881-1933
Fax
(818) 881-1935
NPI assigned
Jan 11, 2013
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Mr. Aubrey Green
Title
Ics Supervisor
Phone
(510) 569-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

19510 Ventura Blvd
Tarzana, CA 91356-2969

Mailing address

4208 Wilshire Blvd
Oakland, CA 94602-3550
Phone (510) 220-2593

National Provider Directory

National Provider Directory
Tax ID family
Institute for Applied Behavior Analysis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19510 Ventura Blvd
Tarzana, CA 91356
Phone (818) 881-1933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1437496379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 WILSHIRE BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023550",
            "telephone_number": "510-220-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19510 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562969",
            "telephone_number": "818-881-1933",
            "fax_number": "818-881-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "ICS SUPERVISOR",
        "authorized_official_telephone_number": "510-569-8811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.