Active NPI
Ghassan Hallaq
- Behavior Technician
- Woodland Hills, CA
National Provider Identifier
1598446239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-223517
- Practice address
- 23371 Mulholland Dr. Unit 429
Woodland Hills, CA 91364 - Phone
- (626) 531-6999
- Fax
- (626) 531-6998
- NPI assigned
- Jul 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-223517 | CO | Primary |
Addresses
Primary practice location
23371 Mulholland Dr. Unit 429
Woodland Hills, CA 91364
Mailing address
22055 Bellcroft Dr
Lake Forest, CA 92630-5947
Phone (949) 522-1145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-223517 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1598446239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22055 BELLCROFT DR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926305947",
"telephone_number": "949-522-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23371 MULHOLLAND DR. UNIT 429",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91364",
"telephone_number": "626-531-6999",
"fax_number": "626-531-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAQ",
"first_name": "GHASSAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-22-223517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.