Individual provider Active NPI

McKenna Codizal

  • Behavior Analyst
  • Los Alamitos, CA
National Provider Identifier
1477055408
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-2828940 Issued in CA
Practice address
10900 Los Alamitos Blvd Ste 145
Los Alamitos, CA 90720-5610
Phone
(424) 212-6700
Fax
(424) 212-6819
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 1-26-2828940 CA Primary

Addresses

Primary practice location

10900 Los Alamitos Blvd Ste 145
Los Alamitos, CA 90720-5610

Mailing address

119 W Torrance Blvd Ste 100
Redondo Beach, CA 90277-3600
Phone (310) 374-3300

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1477055408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W TORRANCE BLVD STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773600",
            "telephone_number": "310-374-3300",
            "fax_number": "310-374-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD STE 145",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205610",
            "telephone_number": "424-212-6700",
            "fax_number": "424-212-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODIZAL",
        "first_name": "MCKENNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-26-2828940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.