Legendary Behavioral Services

Behavior Analyst · West Covina, CA

Organization Active NPI

NPI number 1477378461

Practice location

1744 E Thackery St
West Covina, CA 91791-3137
Phone
(323) 943-4400

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NPI record

NPI
1477378461
Entity type
Organization (Type 2)
Enumeration date
November 15, 2024
Last updated
May 13, 2025
Certified
May 13, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

1050 Lakes Dr #225
PMB #3097
West Covina, CA 91790

Authorized official

Name
Jack Lopez
Title
Bcba/Clinical Director
Phone
(323) 943-4400

Other names

  • Legendary Behavioral Services
  • Legendary Behavioral Services

About Legendary Behavioral Services

Legendary Behavioral Services is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1744 E Thackery St, West Covina, CA 91791-3137. The NPI number 1477378461 was assigned on November 15, 2024 and the record was last updated on May 13, 2025.

The authorized official for this organization is Jack Lopez, Bcba/Clinical Director.

Frequently asked questions

What is the NPI number of Legendary Behavioral Services?

The NPI number is 1477378461.

What is the phone number of Legendary Behavioral Services?

The phone number listed for the practice location is (323) 943-4400.

Where is Legendary Behavioral Services located?

1744 E Thackery St, West Covina, CA 91791-3137.

What is the taxonomy code for Legendary Behavioral Services?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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