Individual provider Active NPI

Nicolas Guzman, BCBA

  • Behavior Analyst
  • Encino, CA
National Provider Identifier
1497399950
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-41563 Issued in NU
Practice address
17842 Magnolia Blvd
Encino, CA 91316-3317
Phone
(650) 740-1801
Fax
(818) 748-1772
NPI assigned
Oct 28, 2019
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-41563 NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

17842 Magnolia Blvd
Encino, CA 91316-3317

Mailing address

17842 Magnolia Blvd
Encino, CA 91316-3317
Phone (650) 740-1801

Other practice location 1

25115 Avenue Stanford
Ste A100
Santa Clarita, CA 91355
Phone (818) 241-6780

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guzman Behavioral Consulting LLC. Behavior Analyst CurrentSince Aug 1, 2022 Accepting new patients

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1497399950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17842 MAGNOLIA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163317",
            "telephone_number": "650-740-1801",
            "fax_number": "818-748-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17842 MAGNOLIA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163317",
            "telephone_number": "650-740-1801",
            "fax_number": "818-748-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25115 Avenue Stanford",
            "address_2": "Ste A100",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "91355",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "818-295-3276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "NICOLAS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-20-41563",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.