Lyre Caruz Fribourg, PH.D, BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28857 Issued in CA

Practice address

12522 Moorpark St # 107
Studio City, CA 91604-1355

Phone

(818) 666-9434

NPI assigned

Jul 19, 2012

Last updated

Feb 27, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Carnelian Learning Place, LLC

  • Behavior Analyst
  • Simi Valley, CA
  • NPI 1477413292
  NPD Authorized official
• Carnelian Psychological and Educational Group, Inc

  • School Psychologist
  • Studio City, CA
  • NPI 1720724446

  Behavior Analyst

  NPD Authorized official
• Carnelian Learning Place, LLC

  • Behavior Analyst
  • Cypress, TX
  • NPI 1124860051
  NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1609121201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 MOORPARK ST # 107",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041355",
            "telephone_number": "818-666-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 MOORPARK ST # 107",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041355",
            "telephone_number": "818-666-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIBOURG",
        "first_name": "LYRE",
        "middle_name": "CARUZ",
        "credential": "PH.D, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-5676",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M. Fox, PH.D.
• Franco, Inc. (Maison d'Optique)
• Victoria Dianne Frantz, MA, LMFT
• Joanna Frazier, DMD
• Lynne Darlene Freeman, MFT
• Gayle Kahn Friedman, LCSW
• Friendly Management Services Inc
• Anne McComas Front
• Jerome Front, LMFT
• Robin L. Futoran, D.C.

• Clinical Psychologist in Studio City, CA
• Providers in Studio City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.