Active NPI
Amy Jimenez, BEHAVIOR ANALYST
- Behavior Analyst
- Los Angeles, CA
National Provider Identifier
1922596287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60534
- Practice address
- 2152 S Sycamore Ave
Los Angeles, CA 90016-2242 - Phone
- (832) 524-3571
- NPI assigned
- Apr 23, 2018
- 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 Analyst | 103K00000X | 1-22-60534 | CA | Primary |
Addresses
Primary practice location
2152 S Sycamore Ave
Los Angeles, CA 90016-2242
Mailing address
2152 S Sycamore Ave
Los Angeles, CA 90016-2242
Phone (832) 524-3571
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1922596287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 S SYCAMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900162242",
"telephone_number": "832-524-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2152 S SYCAMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900162242",
"telephone_number": "832-524-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "AMY",
"credential": "BEHAVIOR ANALYST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-60534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.