Active NPI
Ali Fassih, BCBA
- Behavior Analyst
- Sherman Oaks, CA
National Provider Identifier
1861852113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-19244
- Practice address
- 4501 Cedros Ave
#124
Sherman Oaks, CA 91403-2801 - Phone
- (818) 857-7576
- NPI assigned
- Feb 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-19244 | CA | Primary |
Addresses
Primary practice location
4501 Cedros Ave
#124
Sherman Oaks, CA 91403-2801
Mailing address
5911 Julian LN
Tarzana, CA 91356-1148
Phone (818) 857-7576
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1861852113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5911 JULIAN LN",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561148",
"telephone_number": "818-857-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 CEDROS AVE",
"address_2": "#124",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032801",
"telephone_number": "818-857-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSIH",
"first_name": "ALI",
"name_prefix": "Mr.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-29",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-19244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.