Randy Enciso

Behavior Analyst · Tarzana, CA

Individual Active NPI

NPI number 1003139890

Practice location

5554 Reseda Blvd Ste 203
Tarzana, CA 91356-6212
Phone
(818) 705-5522

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NPI record

NPI
1003139890
Entity type
Individual (Type 1)
Enumeration date
March 8, 2010
Last updated
February 19, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-18-32353 CA
Rehabilitation Practitioner 225400000X — —

Mailing address

965 W Sierra Madre Ave
Apt. #2
Azusa, CA 91702-1836

About Randy Enciso

Randy Enciso is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5554 Reseda Blvd Ste 203, Tarzana, CA 91356-6212. The NPI number 1003139890 was assigned on March 8, 2010 and the record was last updated on February 19, 2019.

Randy Enciso lists a license in the registry: #1-18-32353 (CA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randy Enciso?

The NPI number is 1003139890.

What is the phone number of Randy Enciso?

The phone number listed for the practice location is (818) 705-5522.

Where is Randy Enciso located?

5554 Reseda Blvd Ste 203, Tarzana, CA 91356-6212.

What is the taxonomy code for Randy Enciso?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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