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Michael Mansour

Behavior Analyst β€’ Burbank, CA

Active NPI 1730658972 Individual Practitioner Male Practitioner
Practice location in NPPES

2550 N Hollywood Way Ste 102
Burbank, CA 915055031

Call 8667278274 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2550 N Hollywood Way Ste 102

Burbank, CA 915055031

Telephone 8667278274
Organization at the Same NPPES Address or Phone
Autism Spectrum Therapies Llc Facility NPI 1215393178

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Culver City, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Burbank and California

76 active clinicians are listed under Behavior Analyst with a practice address in Burbank, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Burbank

0% of these 76 clinicians have the CMS telehealth indicator.

0% of these 76 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-21-52313

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

6101 W Centinela Ave Ste 380

Culver City, CA 902306367

Phone: 8053980525

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address December 22, 2021

Registered at 6101 W CENTINELA AVE STE 380, CULVER CITY, CA 902306367 (Tel: 8053980525)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2021

Behavior Analyst (license number reported to NPPES: CA 1-21-52313)

πŸ“
Updated Practice Location July 21, 2021

Registered at 2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 915055031 (Tel: 8667278274)

πŸ“
Updated Business Mailing Address July 21, 2021

Registered at 2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 915055031 (Tel: 8667278274)

πŸ‘€
Provider Name / Credentials Updated July 21, 2021

Recorded as MICHAEL MANSOUR

βœ…
NPI Profile Active November 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2018

Registered at 12432 BELLFLOWER BLVD, DOWNEY, CA 902422806 (Tel: 8182416780)

πŸ“
Business Mailing Address (Initial Record) November 16, 2018

Registered at 206 N JACKSON ST STE 202, GLENDALE, CA 912064330 (Tel: 8182416780)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2018

Recorded as MICHAEL MONSOUR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration November 16, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730658972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2018
Last Update: December 22, 2021
Sole Proprietor: No

Mailing Address

6101 W Centinela Ave Ste 380

Culver City, CA 902306367

Phone: 8053980525

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.