Organization Active NPI

Nascent Behavioral Health LLC

  • Behavior Analyst
  • La Crescenta, CA
National Provider Identifier
1689541245
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NASCENT BEHAVIORAL HEALTH LLC
Practice address
3254 Honolulu Ave Apt B
La Crescenta, CA 91214-3385
Phone
(626) 833-3130
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Jaime Kim, BCBANPI 1215552435
Title
Ceo & Bcba
Phone
(626) 833-3130

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 AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3254 Honolulu Ave Apt B
La Crescenta, CA 91214-3385

Mailing address

3746 Foothill Blvd # 122
La Crescenta, CA 91214-1740
Phone (626) 833-3130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1689541245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 FOOTHILL BLVD # 122",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "626-833-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 HONOLULU AVE APT B",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143385",
            "telephone_number": "626-833-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASCENT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "CEO & BCBA",
        "authorized_official_telephone_number": "626-833-3130",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.