Adriana Blanco

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

803 N Inglewood Ave Apt E
Inglewood, CA 90302-7738

Phone

(323) 616-3993

NPI assigned

Feb 10, 2022

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Jessica Lieber, M.S., Bcba

  dba Forward Behavior

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1124534623
  NPD (past)

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548914211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 W 5TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484710",
            "telephone_number": "818-804-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N INGLEWOOD AVE APT E",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903027738",
            "telephone_number": "323-616-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ADRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "E2769968",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "a.blanco53@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "803 N Inglewood Ave Apt E",
            "city": "Inglewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "903027738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "a.blanco53@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "803 N Inglewood Ave Apt E",
            "city": "Inglewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "903027738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Biometrics Partners Corporation
• Theodore Bitew, D.C.
• Remy Victor Black, DDS, MBA
• Dara Alodie Blades
• Tierra Rose Blake
• Ryan Blanco, PA
• Blue Dove Rehabilitation, Inc.
• Bluecross Transportation LLC
• Anita Denise Boatwright
• Philip Michael Bockarie

• Behavior Analyst in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.