Individual provider Active NPI

Ali Fassih, BCBA

  • Behavior Analyst
  • Sherman Oaks, CA
National Provider Identifier
1861852113
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-19244 Issued in CA
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

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.