NPIMap

Organization Active NPI

Accelerated Behavioral Change, Inc.

  • Behavior Analyst
  • Encino, CA
National Provider Identifier
1790340107
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACCELERATED BEHAVIORAL CHANGE, INC.
Practice address
16400 Ventura Blvd Ste 330
Encino, CA 91436-1229
Phone
(213) 519-2266
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Judy V Koutal, BCBANPI 1700310885
Title
Secretary
Phone
(213) 519-2266

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 Analyst 103K00000X Primary

Addresses

Primary practice location

16400 Ventura Blvd Ste 330
Encino, CA 91436-1229

Mailing address

16400 Ventura Blvd Ste 330
Encino, CA 91436-1229
Phone (213) 519-2266

National Provider Directory

National Provider Directory
Tax ID family
Accelerated Behavioral Change Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16400 Ventura Blvd
Ste 330
Encino, CA 91436
Phone (213) 519-2266

Practitioners & affiliated clinicians

Practitioners 152

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1790340107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 VENTURA BLVD STE 330",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361229",
            "telephone_number": "213-519-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 VENTURA BLVD STE 330",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361229",
            "telephone_number": "213-519-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED BEHAVIORAL CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "KOUTAL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-519-2266",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.