Active NPI
Forte Behavioral Health LLC
- Behavior Analyst
- Los Angeles, CA
National Provider Identifier
1750081253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- FORTE BEHAVIORAL HEALTH LLC
- Practice address
- 2139 Glendon Ave
Los Angeles, CA 90025-6325 - Phone
- (800) 324-1557
- Fax
- (888) 260-1621
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane Shaffer
- Title
- Coo
- Phone
- (310) 562-7363
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2139 Glendon Ave
Los Angeles, CA 90025-6325
Mailing address
2139 Glendon Ave
Los Angeles, CA 90025-6325
Phone (800) 324-1557
Other practice location 1
2058 E Yale St Apt A
Ontario, CA 91764-6827
Phone (800) 324-1557
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1750081253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 GLENDON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256325",
"telephone_number": "800-324-1557",
"fax_number": "888-260-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 GLENDON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256325",
"telephone_number": "800-324-1557",
"fax_number": "888-260-1621"
}
],
"practiceLocations": [
{
"address_1": "2058 E Yale St Apt A",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917646827",
"country_code": "US",
"telephone_number": "800-324-1557",
"fax_number": "888-260-1621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FORTE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-04",
"status": "A",
"authorized_official_last_name": "SHAFFER",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "310-562-7363"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.