Vida for Autism, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIDA FOR AUTISM, LLC

Practice address

5250 Lankershim Blvd Ste 500
North Hollywood, CA 91601-3187

Phone

(818) 350-3839

NPI assigned

Feb 16, 2019

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

VIDA FOR AUTISM, LLCAs reported in NPPES

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

Authorized official

Name

Edwin Alberto Cruz, BCBANPI 1932587698

Title

Owner

Phone

(323) 388-6178

Specialties & licenses 3

Addresses

Part of

Vida for Autism LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin Cruz

  • Behavior Analyst
  • North Hollywood, CA
  • NPI 1932587698
  NPD Authorized official

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1568928349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LANKERSHIM BLVD STE 500",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013187",
            "telephone_number": "818-350-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LANKERSHIM BLVD STE 500",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013187",
            "telephone_number": "818-350-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA FOR AUTISM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIDA FOR AUTISM, LLC",
        "enumeration_date": "2019-02-16",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-388-6178",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in North Hollywood, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.