Avishai Zacharia, M.A B.C.B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-40632 Issued in CA

Practice address

15315 Magnolia Blvd Ste 428
Sherman Oaks, CA 91403-1177

Phone

(818) 605-7451

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• ABA Ethics

  • Behavior Analyst
  • Sherman Oaks, CA
  • NPI 1043838220
  NPD Authorized official

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1831724814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 428",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031177",
            "telephone_number": "818-605-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 428",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031177",
            "telephone_number": "818-605-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIA",
        "first_name": "AVISHAI",
        "name_prefix": "Mr.",
        "credential": "M.A B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-40632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.