Addison Grace Bodyfelt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

14724 Ventura Blvd Ste 1105
Sherman Oaks, CA 91403-3510

Phone

(747) 298-3480

NPI assigned

Feb 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1619773389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 DARBY AVE APT 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252251",
            "telephone_number": "916-699-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14724 VENTURA BLVD STE 1105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033510",
            "telephone_number": "747-298-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28470 Avenue Stanford Ste 280",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913551460",
            "country_code": "US",
            "telephone_number": "661-964-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3255 Wilshire Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101411",
            "country_code": "US",
            "telephone_number": "213-296-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODYFELT",
        "first_name": "ADDISON",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.