Individual provider Active NPI

Lizzett Guzman, BCBA

  • Behavior Analyst
  • Lancaster, CA
National Provider Identifier
1700470465
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47522 Issued in CA
Practice address
1212 W Avenue J Ste 200
Lancaster, CA 93534-2940
Phone
(818) 991-7722
Fax
(818) 991-7722
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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 1-21-47522 CA Primary

Addresses

Primary practice location

1212 W Avenue J Ste 200
Lancaster, CA 93534-2940

Mailing address

16600 Sherman Way Ste 105
Van Nuys, CA 91406-3876
Phone (661) 991-7722

Other practice location 1

16600 Sherman Way Ste 105
Van Nuys, CA 91406-3876
Phone (661) 991-7722

Other identifiers 1

IdentifierTypeStateIssuer
1-21-47522OtherCABACB

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavior Solutions, LLC Behavior Analyst PastSince Mar 4, 2021 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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1700470465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063876",
            "telephone_number": "661-991-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W AVENUE J STE 200",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342940",
            "telephone_number": "818-991-7722",
            "fax_number": "818-991-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16600 Sherman Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063876",
            "country_code": "US",
            "telephone_number": "661-991-7722",
            "fax_number": "818-991-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "LIZZETT",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-47522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-21-47522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.