Organization Active NPI

Functionfirstaba

  • Behavior Analyst
  • La Habra, CA
National Provider Identifier
1760217673
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FUNCTIONFIRSTABA
Practice address
861 Glencliff Street
#62
La Habra, CA 90631
Phone
(323) 537-3165
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia MoraNPI 1093276503
Title
Bcba
Phone
(323) 819-0218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

861 Glencliff Street
#62
La Habra, CA 90631

Mailing address

2571 Saturn Ave
Huntington Park, CA 90255-4075

Other names 1

  • Function First ABA Former legal business name

National Provider Directory

National Provider Directory

Locations

2571 Saturn Ave
Huntington Park, CA 90255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1760217673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 SATURN AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 GLENCLIFF STREET",
            "address_2": "#62",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "323-537-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONFIRSTABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "323-819-0218"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Function First ABA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.