Heather Marie Bonawitz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5435 Balboa Blvd Ste 202
Encino, CA 91316-1570

Phone

(310) 933-4499

Fax

(310) 933-4134

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavioral Learning Network LLC

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1629400395
  NPD (past)
• Behavioral Learning Network - New Hampshire LLC

  • Behavior Analyst
  • Greenland, NH
  • NPI 1114582418
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1881369080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161570",
            "telephone_number": "310-933-4499",
            "fax_number": "310-933-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161570",
            "telephone_number": "310-933-4499",
            "fax_number": "310-933-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAWITZ",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Medical Wellness Inc
• Body of Beverly Hills Wellness Inc
• Bodylogicmd of Encino P.C.
• Melonie Adriana Bojorquez
• Jemma Jasmin Bolaoen, OTR/L
• Emma G. Boncaras, MFC
• Walter David Bond, D.C., Q.M.E.
• Svitlana Bondar, NURSE PRACTITIONER
• Jocelyn Boniface
• Bonnie Cardenas & Associates Physical Therapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.