Active NPI
Andrea Lira, M.S.
- Behavior Technician
- Granada Hills, CA
National Provider Identifier
1902601016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB308154
- Practice address
- 17037 Chatsworth St Ste 102
Granada Hills, CA 91344-5881 - Phone
- (310) 980-1215
- NPI assigned
- Feb 14, 2025
- 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 | BACB308154 | CA | Primary |
Addresses
Primary practice location
17037 Chatsworth St Ste 102
Granada Hills, CA 91344-5881
Mailing address
12008 Long Beach Blvd Unit 7
Lynwood, CA 90262-4370
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB308154 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1902601016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12008 LONG BEACH BLVD UNIT 7",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17037 CHATSWORTH ST STE 102",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445881",
"telephone_number": "310-980-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRA",
"first_name": "ANDREA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "BACB308154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.