Active NPI
Kimberly A Lane
- Behavior Technician
- North Hollywood, CA
National Provider Identifier
1881292472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5250 Lankershim Blvd # 507
North Hollywood, CA 91601-3186 - Phone
- (818) 806-0267
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
5250 Lankershim Blvd # 507
North Hollywood, CA 91601-3186
Mailing address
5250 Lankershim Blvd # 507
North Hollywood, CA 91601-3186
Phone (818) 806-0267
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mebe Los Angeles LLC | Behavior Technician | Current | Accepting new patients |
Locations
5250 Lankershim Blvd
#507
North Hollywood, CA 91601
Phone (818) 806-0267
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1881292472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 LANKERSHIM BLVD # 507",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013186",
"telephone_number": "818-806-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 LANKERSHIM BLVD # 507",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013186",
"telephone_number": "818-806-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "KIMBERLY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.