Individual provider Active NPI

Melina Arceli De Leon, M.A. BCBA

  • Behavior Analyst
  • Manhattan Beach, CA
National Provider Identifier
1720435159
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11726761 Issued in CA
Practice address
1230 Rosecrans Ave
Manhattan Beach, CA 90266-2477
Phone
(310) 406-1500
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 11726761 CA Primary

Addresses

Primary practice location

1230 Rosecrans Ave
Manhattan Beach, CA 90266-2477

Mailing address

1452 W 224TH St Apt 4
Torrance, CA 90501-4211

Other practice location 1

1000 Veteran Ave
Los Angeles, CA 90024-2704
Phone (310) 825-6110

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11726761CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior and Education Inc Past Accepting new patients
Behavior and Education Inc Past Accepting new patients

Organizations & group practices 2

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720435159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W 224TH ST APT 4",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ROSECRANS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662477",
            "telephone_number": "310-406-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Veteran Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900242704",
            "country_code": "US",
            "telephone_number": "310-825-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MELINA",
        "middle_name": "ARCELI",
        "credential": "M.A. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11726761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.