Active NPI
McKensie Nicole Lara
- Behavior Technician
- Studio City, CA
National Provider Identifier
1619779816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11425 Moorpark St
Studio City, CA 91602-2009 - Phone
- (310) 920-8544
- NPI assigned
- Mar 26, 2025
- Last updated
- Mar 26, 2025
- Sex
- Female
- 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 | NU | Primary |
Addresses
Primary practice location
11425 Moorpark St
Studio City, CA 91602-2009
Mailing address
5664 Fair Ave Apt 19
North Hollywood, CA 91601-1999
Phone (805) 279-9982
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nest Los Angeles LLC | Behavior Technician | Current | Accepting new patients |
Locations
11425 Moorpark St
Studio City, CA 91602
Phone (310) 920-8544
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1619779816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5664 FAIR AVE APT 19",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916011999",
"telephone_number": "805-279-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11425 MOORPARK ST",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916022009",
"telephone_number": "310-920-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "MCKENSIE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.