Active NPI
Inclusive and Extensive Autism Services
- Behavior Analyst
- Panorama City, CA
National Provider Identifier
1891591798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- INCLUSIVE AND EXTENSIVE AUTISM SERVICES
- Practice address
- 14500 Roscoe Blvd.
4TH Floor
Panorama City, CA 91402 - Phone
- (661) 741-2561
- Fax
- (800) 852-3387
- NPI assigned
- Feb 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana Munoz, MA
- Title
- Operations Director
- Phone
- (661) 247-3174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14500 Roscoe Blvd.
4TH Floor
Panorama City, CA 91402
Mailing address
22611 Barbacoa Dr
Santa Clarita, CA 91350-2235
Phone (661) 247-3174
Other practice location 1
22611 Barbacoa Dr
Santa Clarita, CA 91350-2235
Phone (661) 247-3174
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Panorama City, CA
- NPI 1245804004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1891591798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22611 BARBACOA DR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502235",
"telephone_number": "661-247-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 ROSCOE BLVD.",
"address_2": "4TH FLOOR",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "91402",
"telephone_number": "661-741-2561",
"fax_number": "800-852-3387"
}
],
"practiceLocations": [
{
"address_1": "22611 Barbacoa Dr",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913502235",
"country_code": "US",
"telephone_number": "661-247-3174",
"fax_number": "800-852-3387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INCLUSIVE AND EXTENSIVE AUTISM SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-21",
"last_updated": "2025-04-09",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "MUNOZ",
"authorized_official_first_name": "ANA",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "661-247-3174",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.