Rene Felipe Enciso

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

21241 Ventura Blvd
Woodland Hills, CA 91364-2108

Phone

(805) 551-3408

NPI assigned

Feb 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1487246708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BURRELL AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632709",
            "telephone_number": "805-404-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642108",
            "telephone_number": "805-551-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCISO",
        "first_name": "RENE",
        "middle_name": "FELIPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Emerson
• Diana Emmanuel
• Julianne Emoto
• Emulate Treatment Center, Inc
• Khrystal Mariah Enciso
• Endonovo Therapeutics, Inc.
• Enhanced Care Partners LLC
• Anita Enomoto, PHARMD
• Enrichment Intervention Family Center
• Entrust Senior Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.