SPECIAL NEEDS NETWORK, INC (NPI# 1659744225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659744225 |
| Entity Type | Organization |
| Organization Name | SPECIAL NEEDS NETWORK, INC |
| Practice Address |
4401 Crenshaw Blvd Ste 215 Los Angeles CA 90043-1200 |
| Practice Telephone | 3232917100 |
| Mailing Telephone | 3232917100 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | AMANDA L SPECHT (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3232917100 |
| Authorized Official Credential | MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 00219628300013 | CA | Agencies |
| Street Address |
4401 CRENSHAW BLVD STE 215 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671732 | Carolina Elizabeth Gonzalez | Behavioral Analyst | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2020-08-27 |
| 1063021764 | Nathaly Buruca | Behavioral Analyst | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2020-07-28 |
| 1083251987 | Ivan Federico Montenegro | Psychologist | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2019-12-10 |
| 1518504414 | Lisbeth Echeverria | Psychologist | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2019-12-10 |
| 1235776139 | Marissa Williams | Assistant Behavior Analyst | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2019-12-10 |
| 1356988869 | Vanessa Manriquez | Behavioral Analyst | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2019-12-03 |
| 1659922995 | Brandi Roxana Hernandez | Behavioral Analyst | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2019-09-27 |
| 1356802870 | Talvin Robert Brown | Behavioral Analyst | 4401 Crenshaw Blvd Ste 215, Los Angeles, CA 90043-1200 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on SPECIAL NEEDS NETWORK, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.