Active NPI
Bright Path ABA
- Behavior Analyst
- Tarzana, CA
National Provider Identifier
1558297630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BRIGHT PATH ABA
- Practice address
- 5530 Corbin Ave Ste 115
Tarzana, CA 91356-2914 - Phone
- (310) 908-0000
- Fax
- (213) 693-1162
- NPI assigned
- Jun 18, 2026
- Last updated
- Jun 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Mitchell Potter, BCBA LBA LBS
- Title
- Billing Consultant
- Phone
- (201) 978-3815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
5530 Corbin Ave Ste 115
Tarzana, CA 91356-2914
Mailing address
5530 Corbin Ave Ste 115
Tarzana, CA 91356-2914
Phone (310) 908-0000
National Provider Directory
National Provider DirectoryLocations
5530 Corbin Ave
Ste 115
Tarzana, CA 91356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1558297630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 CORBIN AVE STE 115",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562914",
"telephone_number": "310-908-0000",
"fax_number": "213-693-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 CORBIN AVE STE 115",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562914",
"telephone_number": "310-908-0000",
"fax_number": "213-693-1162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT PATH ABA",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "MITCHELL",
"authorized_official_title_or_position": "BILLING CONSULTANT",
"authorized_official_telephone_number": "201-978-3815",
"authorized_official_credential": "BCBA LBA LBS"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"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 Jun 18, 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.