Jose Alexander Zamudio, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30151

Practice address

16130 Sherman Way
Van Nuys, CA 91406-3907

Phone

(818) 285-8252

Fax

(818) 273-1831

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

Yes

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.

• Unlocking Potentials, LLC

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1588405567
  NPD Authorized official
• Ican-B

  • Community/Behavioral Health Agency
  • Van Nuys, CA
  • NPI 1669865648
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1972950640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W NEWCOMBE AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774740",
            "telephone_number": "956-787-0727",
            "fax_number": "956-787-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063907",
            "telephone_number": "818-285-8252",
            "fax_number": "818-273-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "JOSE",
        "middle_name": "ALEXANDER",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-12-13",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-30151",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Zamora Naranjo
• Anahi Zamora
• Jocelyn Mayela Zamora, M.S.
• Olga Ballesteros Zampighi, DDS
• Jonathan Alberto Zamudio
• Marina Zanazanian, D.C.
• Angelica Zanchez
• Vannessa Laigo Zanders, OTR
• Farrokh Zandpour, M.D.
• Harold Anthony Zapata, RADT-1

• Behavior Analyst in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.