Individual provider Active NPI

Leslie Ghrist, BEHAVIOR THERAPIST

  • Behavior Analyst
  • Chatsworth, CA
National Provider Identifier
1891117453
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10824 Topanga Canyon Blvd
Chatsworth, CA 91311-1350
Phone
(818) 882-0200
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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 Primary

Addresses

Primary practice location

10824 Topanga Canyon Blvd
Chatsworth, CA 91311-1350

Mailing address

4363 Eileen St
Unit #6
Simi Valley, CA 93063-2958
Phone (818) 605-6062

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

OrganizationSpecialtyStatusNew patients
Academy for the Advancement of Children With Autism Current Accepting new patients

Locations

10824 Topanga Canyon Blvd
Chatsworth, CA 91311
Phone (818) 882-0200

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": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1891117453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 EILEEN ST",
            "address_2": "UNIT #6",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632958",
            "telephone_number": "818-605-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 TOPANGA CANYON BLVD",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111350",
            "telephone_number": "818-882-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHRIST",
        "first_name": "LESLIE",
        "credential": "BEHAVIOR THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.