Individual provider Active NPI

Linda Chong, MA, BCBA

  • Behavior Analyst
  • Duarte, CA
National Provider Identifier
1629529789
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23363 Issued in CA
Practice address
931 Buena Vista St Ste 200
Duarte, CA 91010-1713
Phone
(626) 671-8866
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23363 CA Primary

Addresses

Primary practice location

931 Buena Vista St Ste 200
Duarte, CA 91010-1713

Mailing address

931 Buena Vista St Ste 200
Duarte, CA 91010-1713
Phone (626) 671-8866

Other practice location 1

1433 Foothill Blvd
LA Canada, CA 91011-2109
Phone (818) 937-0882

Other practice location 2

4712 E 2nd St Ste 140
Long Beach, CA 90803-5309
Phone (818) 937-0882

Other practice location 3

1101 Fremont Ave Ste 101
South Pasadena, CA 91030-5704
Phone (818) 937-0882

Other practice location 4

17037 Chatsworth St Ste 206
Granada Hills, CA 91344-5874
Phone (818) 937-0882

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise ABA & Autism Services, L.L.C Behavior Analyst Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1629529789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 200",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101713",
            "telephone_number": "626-671-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 200",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101713",
            "telephone_number": "626-671-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Canada",
            "state": "CA",
            "postal_code": "910112109",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4712 E 2nd St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908035309",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Fremont Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910305704",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17037 Chatsworth St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445874",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG",
        "first_name": "LINDA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-23363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.