Organization Active NPI

Forte Behavioral Health LLC

  • Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1750081253
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Mar 6, 2023

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.