Active NPI
Eidyll Lily Oliveros, BCBA
- Behavior Analyst
- Calabasas, CA
National Provider Identifier
1689157687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59210
- Practice address
- 5741 Las Virgenes Rd Ste a
Calabasas, CA 91302-1273 - Phone
- (818) 712-8250
- NPI assigned
- Sep 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 15-08568 | CA | |
| Behavior Analyst | 103K00000X | 1-22-59210 | CA | Primary |
Addresses
Primary practice location
5741 Las Virgenes Rd Ste a
Calabasas, CA 91302-1273
Mailing address
5741 Las Virgenes Rd Ste a
Calabasas, CA 91302-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962726752 | Other | CA | FIRSTSTEPS FOR KIDS INC. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15-08568 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activesteps | 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": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1689157687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5741 LAS VIRGENES RD STE A",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5741 LAS VIRGENES RD STE A",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021273",
"telephone_number": "818-712-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEROS",
"first_name": "EIDYLL",
"middle_name": "LILY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "15-08568",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-59210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTSTEPS FOR KIDS INC.",
"identifier": "1962726752",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.