NPIMap

Organization Active NPI

Behavioral Learning Network LLC

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1629400395
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MFC 48133 Issued in CA
Legal business name
BEHAVIORAL LEARNING NETWORK LLC
Practice address
10700 Santa Monica Blvd.
Suite 214
Los Angeles, CA 90025-5643
Phone
(310) 933-4499
Fax
(310) 933-4134
NPI assigned
Aug 5, 2013
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Gregory Martin Elsky, PSY.D.NPI 1730434275
Title
Clinical Director
Phone
(310) 933-4499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MFC 48133 CA Primary

Addresses

Primary practice location

10700 Santa Monica Blvd.
Suite 214
Los Angeles, CA 90025-5643

Mailing address

10700 Santa Monica Blvd.
Suite 214
Los Angeles, CA 90025-5643
Phone (310) 933-4499

National Provider Directory

National Provider Directory

Locations

10700 Santa Monica Blvd
Ste 214
Los Angeles, CA 90025
Phone (310) 922-0624

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1629400395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD.",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255643",
            "telephone_number": "310-933-4499",
            "fax_number": "310-933-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD.",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255643",
            "telephone_number": "310-933-4499",
            "fax_number": "310-933-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL LEARNING NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "ELSKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-933-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "MFC 48133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.