Individual provider Active NPI

Ellis Aubuchon

  • Behavior Analyst
  • Northridge, CA
National Provider Identifier
1770211419
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-88028 Issued in CA
Practice address
18860 Nordhoff St Ste 100
Northridge, CA 91324-3879
Phone
(714) 834-1111
NPI assigned
Aug 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-88028 CA Primary

Addresses

Primary practice location

18860 Nordhoff St Ste 100
Northridge, CA 91324-3879

Mailing address

18860 Nordhoff St Ste 100
Northridge, CA 91324-3879
Phone (714) 834-1111

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunderlin Behavioral Interventions Behavior Analyst CurrentSince Aug 17, 2025 Accepting new patients

Locations

3113 W Rose Hill St
Boise, ID 83705
Phone (208) 270-5814

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1770211419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18860 NORDHOFF ST STE 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243879",
            "telephone_number": "714-834-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18860 NORDHOFF ST STE 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243879",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBUCHON",
        "first_name": "ELLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-26-88028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.