NPIMap

Organization Active NPI

Family Behavior Analysis

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1780134585
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11417703 Issued in CA
Legal business name
FAMILY BEHAVIOR ANALYSIS
Practice address
2072 Dracena Dr
Los Angeles, CA 90027-2605
Phone
(818) 296-7282
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Sarah Conklin, BCBANPI 1669868980
Title
Owner
Phone
(818) 296-7282

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
Community/Behavioral Health Agency 251S00000X 11417703 CA Primary

Addresses

Primary practice location

2072 Dracena Dr
Los Angeles, CA 90027-2605

Mailing address

2072 Dracena Dr
Los Angeles, CA 90027-2605
Phone (818) 296-7282

National Provider Directory

National Provider Directory

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": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1780134585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 DRACENA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272605",
            "telephone_number": "818-296-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 DRACENA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272605",
            "telephone_number": "818-296-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-296-7282",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "11417703",
            "primary": true
        }
    ],
    "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 Jan 17, 2017; 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.