Active NPI
Lilian Rosemary Rivas, BCBA, MS
- Behavior Analyst
- Lake Balboa, CA
National Provider Identifier
1740933274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12156999
- Practice address
- 16130 Sherman Way
Lake Balboa, CA 91406-3907 - Phone
- (818) 616-1069
- NPI assigned
- Feb 3, 2022
- 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 | 12156999 | CA | Primary |
Addresses
Primary practice location
16130 Sherman Way
Lake Balboa, CA 91406-3907
Mailing address
6954 Coldwater Canyon Ave Apt 2
North Hollywood, CA 91605-5124
Phone (747) 256-9239
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lrivas@ican-b.com | Health Information Exchange (HIE) |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12156999 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ican-B | 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.
-
- Community/Behavioral Health Agency
- Van Nuys, CA
- NPI 1669865648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1740933274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6954 COLDWATER CANYON AVE APT 2",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916055124",
"telephone_number": "747-256-9239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16130 SHERMAN WAY",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914063907",
"telephone_number": "818-616-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "LILIAN",
"middle_name": "ROSEMARY",
"credential": "BCBA, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12156999",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lrivas@ican-b.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16130 Sherman Way",
"city": "Lake Balboa",
"state": "CA",
"country_code": "US",
"postal_code": "914063907",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Balboa, CA
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- Reflections Hospice Inc
- Maria del Carmen Reyna, MSW, LCSW
- Katherine Consuelo Robinson
- San Fernando Valley Community Mental Health Center, Inc
- San Fernando Valley Community Mental Health Center, Inc.
- San Fernando Valley Community Mental Health Center, Inc.
- San Fernando Valley Community Mental Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.