Active NPI
Vanessa Bueno
- Behavior Analyst
- Monrovia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 612 S Myrtle Ave Ste 100
Monrovia, CA 91016 - Phone
- (626) 775-7888
- NPI assigned
- Apr 14, 2015
- Last updated
- May 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
dba Behavior Therapy Clinic
- Community/Behavioral Health Agency
- Encino, CA
- NPI 1710233705
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.