Organization Active NPI

Behavior Frontiers, LLC

  • Behavior Technician
  • El Segundo, CA
National Provider Identifier
1699697110
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
BEHAVIOR FRONTIERS, LLC
Practice address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone
(888) 922-2843
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Angelina Jolie Burbank
Title
Behavioral Technician
Phone
(760) 859-6576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602

Mailing address

PO Box 4903
Oceanside, CA 92052-4903
Phone (760) 859-6576

National Provider Directory

National Provider Directory

Locations

100 N Pacific Coast Hwy
Ste 1400
El Segundo, CA 90245
Phone (310) 304-0532

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1699697110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4903",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920524903",
            "telephone_number": "760-859-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PACIFIC COAST HWY STE 1400",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455602",
            "telephone_number": "888-922-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR FRONTIERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "BURBANK",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "JOLIE",
        "authorized_official_title_or_position": "BEHAVIORAL TECHNICIAN",
        "authorized_official_telephone_number": "760-859-6576"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.