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NPI 1962967927ActiveIndividual· Behavior Analyst· Glendale, CA

Behavior Analyst in Glendale, California, licensed in CA, with an NPI issued in February 2019.

Overview

NPI1962967927
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 4, 2019
Last updated in NPPESOct 30, 2023
Certified by providerOct 30, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Behavior Analyst Primary103K00000X1-19-39067CA
Behavior Technician106S00000X17-35059—

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other behavior analysts in Glendale

All 152 behavior analysts in Glendale · All behavior analysts in California