Individual provider Active NPI

Ariel Wells, BCBA

  • Behavior Analyst
  • Valley Village, CA
National Provider Identifier
1669970554
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1728575 Issued in CA
Practice address
5318 Laurel Canyon Blvd Ste 101
Valley Village, CA 91607-4928
Phone
(818) 423-2215
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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 1728575 CA Primary

Addresses

Primary practice location

5318 Laurel Canyon Blvd Ste 101
Valley Village, CA 91607-4928

Mailing address

5151 Woodman Ave Apt 19
Sherman Oaks, CA 91423-1384
Phone (708) 665-1812

Other practice location 1

5151 Woodman Ave Apt 19
Sherman Oaks, CA 91423-1384
Phone (708) 665-1812

Other identifiers 1

IdentifierTypeStateIssuer
1-17-28575OtherCABEHAVIOR ANALYST CERTIFICATION BOARD

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

State licenses

LicenseStateTypeSpecialty
1728575CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Global Center for Autism Services, LLC Past Accepting new patients
Nurture and Nature ABA and Consultation Past Accepting new patients

Organizations & group practices 2

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1669970554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 WOODMAN AVE APT 19",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231384",
            "telephone_number": "708-665-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 LAUREL CANYON BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074928",
            "telephone_number": "818-423-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Woodman Ave Apt 19",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914231384",
            "country_code": "US",
            "telephone_number": "708-665-1812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ARIEL",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1728575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-17-28575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.