Beautiful Minds Center for Autism Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEAUTIFUL MINDS CENTER FOR AUTISM INC.

Practice address

7300 Tampa Ave
Reseda, CA 91335-2467

Phone

(310) 247-1836

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Gabrielle Izralson, BCBANPI 1124277454

Title

Owner

Phone

(310) 247-1836

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Beautiful Minds Center Doing business as

Practitioners 1

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

• Gabrielle Izralson, PSYD, BCBA

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1124277454
  NPD (past) Authorized official

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1851665400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 TAMPA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352467",
            "telephone_number": "310-247-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 TAMPA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352467",
            "telephone_number": "310-247-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MINDS CENTER FOR AUTISM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "IZRALSON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-247-1836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1-10-7720",
            "identifier": "BCBA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Beautiful Minds Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Female (F) Barrera
• Velma Barrios, PH.D.
• Rebecca Barton
• Bassa Logistic Inc
• Shawnt Zohrab Batmanian, PHARM D.
• Stacy Lyn Becker, PSY.D.
• Rajdeep Bedi
• Beeyom Medical Supply, Inc
• Kian Behmanesh, DO
• Bela Maslobodsky

• Behavior Analyst in Reseda, CA
• Providers in Reseda, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.