Janette Brocklehurst, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16857 Issued in CA

Practice address

741 Glenvia St
#200
Glendale, CA 91206-2410

Phone

(855) 295-3276

Fax

(818) 241-6853

NPI assigned

Jan 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alp Psychology Associates, PC

  • Behavior Analyst
  • Huntington Beach, CA
  • NPI 1538507447
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1609264019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD",
            "address_2": "#1000",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031906",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 GLENVIA ST",
            "address_2": "#200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062410",
            "telephone_number": "855-295-3276",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKLEHURST",
        "first_name": "JANETTE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-14-16857",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broadway Med Group, Inc
• Broadway Smile Boutique
• Broadway Surgery Specialists
• Broadway Wellness Center
• Broadway Wellness Center, Inc.
• Brookside Anesthesia Group
• Broosan Chiropractic Corporation
• Arin Broosan, D.C.
• Bross and Associates, LLC
• Richard Dennis Brotman, MFT

• Behavior Analyst in Glendale, CA
• Providers in Glendale, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.