Individual provider Active NPI

Vanessa Bueno

  • Behavior Analyst
  • Monrovia, CA
National Provider Identifier
1710373857
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
612 S Myrtle Ave Ste 100
Monrovia, CA 91016
Phone
(626) 775-7888
NPI assigned
Apr 14, 2015
Last updated
May 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 NU Primary

Addresses

Primary practice location

612 S Myrtle Ave Ste 100
Monrovia, CA 91016

Mailing address

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Phone (626) 775-7888

Other practice location 1

612 S Myrtle Ave Ste 100
Monrovia, CA 91016
Phone (626) 775-7888

Other practice location 2

15720 Ventura Blvd
Suite #403
Encino, CA 91436-2914
Phone (818) 788-2388

Other practice location 3

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Phone (626) 775-7888

Other practice location 4

15720 Ventura Blvd
Suite #403
Encino, CA 91436-2914
Phone (818) 788-2388

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
Child Counseling & Behavior Therapy Clinic 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1710373857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S MYRTLE AVE STE 100",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163406",
            "telephone_number": "626-775-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S MYRTLE AVE STE 100",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91016",
            "telephone_number": "626-775-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S Myrtle Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "91016",
            "country_code": "US",
            "telephone_number": "626-775-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Ventura Blvd",
            "address_2": "Suite #403",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362914",
            "country_code": "US",
            "telephone_number": "818-788-2388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S Myrtle Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910163406",
            "country_code": "US",
            "telephone_number": "626-775-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Ventura Blvd",
            "address_2": "Suite #403",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362914",
            "country_code": "US",
            "telephone_number": "818-788-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENO",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.