Individual provider Active NPI

Christian Jose Ramos Estrada, M.S, BCBA

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1639753544
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12149597 Issued in CA
Practice address
1093 Broxton Ave Ste 240
Los Angeles, CA 90024-2831
Phone
(310) 871-6800
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 12149597 CA Primary

Addresses

Primary practice location

1093 Broxton Ave Ste 240
Los Angeles, CA 90024-2831

Mailing address

6245 Cahuenga Blvd Apt 5
North Hollywood, CA 91606-3900
Phone (818) 326-9698

Other practice location 1

21363 Lassen St Ste 202
Chatsworth, CA 91311-4274
Phone (818) 909-2253

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 Science

State licenses

LicenseStateTypeSpecialty
12149597CAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1639753544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 CAHUENGA BLVD APT 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063900",
            "telephone_number": "818-326-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 BROXTON AVE STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242831",
            "telephone_number": "310-871-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21363 Lassen St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913114274",
            "country_code": "US",
            "telephone_number": "818-909-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS ESTRADA",
        "first_name": "CHRISTIAN",
        "middle_name": "JOSE",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12149597",
            "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 Aug 12, 2022; 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.