Active NPI
Helen Phaedra Mader, M.A., B.C.B.A.
- Behavior Analyst
- Gardena, CA
National Provider Identifier
1740597012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-1503
- Practice address
- 18726 S Western Ave
Suite 408
Gardena, CA 90248-3813 - Phone
- (310) 856-0800
- Fax
- (310) 324-3134
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 1-04-1503 | Primary |
Addresses
Primary practice location
18726 S Western Ave
Suite 408
Gardena, CA 90248-3813
Mailing address
18726 S Western Ave
Suite 408
Gardena, CA 90248-3813
Phone (310) 856-0800
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1740597012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE",
"address_2": "SUITE 408",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483813",
"telephone_number": "310-856-0800",
"fax_number": "310-324-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE",
"address_2": "SUITE 408",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483813",
"telephone_number": "310-856-0800",
"fax_number": "310-324-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADER",
"first_name": "HELEN",
"middle_name": "PHAEDRA",
"name_prefix": "Mrs.",
"credential": "M.A., B.C.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-04-1503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.