Individual provider Active NPI

Sebouh J Serabian, M.S. B.C.B.A

  • Behavior Analyst
  • Burbank, CA
National Provider Identifier
1598009458
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8796 Issued in CA
Practice address
4001 W Heffron Dr
Burbank, CA 91505-3426
Phone
(323) 397-6580
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-11-8796 CA Primary

Addresses

Primary practice location

4001 W Heffron Dr
Burbank, CA 91505-3426

Mailing address

4001 W Heffron Dr
Burbank, CA 91505-3426
Phone (323) 397-6580

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1598009458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W HEFFRON DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053426",
            "telephone_number": "323-397-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W HEFFRON DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053426",
            "telephone_number": "323-397-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERABIAN",
        "first_name": "SEBOUH",
        "middle_name": "J",
        "credential": "M.S. B.C.B.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-8796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.