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CEDRIC CRISOLO M.A., BCBA
NPI 1053644013
Behavior Analyst in Encino, CA

Active since September 09, 2009
17609 VENTURA BLVD, ST. 215, ENCINO, CA 91316(818) 501-8352(818) 501-8325 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cedric Crisolo M.a., Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDRIC CRISOLO M.A., BCBA (NPI 1053644013) is an individual behavior analyst provider in Encino, California, licensed in California (11314656) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1053644013
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameCEDRIC CRISOLOCredential: M.A., BCBA
Location Address17609 VENTURA BLVD, ST. 215Encino, CA 91316-3858
Mailing Address17609 Ventura Blvd, St. 215Encino, CA 91316 · (818) 414-9211
Phone(818) 501-8352
Fax(818) 501-8325
Sole ProprietorNo
Enumeration DateSeptember 9, 2009
Last NPPES UpdateNovember 22, 2013
✔ NPI 1053644013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 11314656
Definition
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.
17609 VENTURA BLVD, Encino, CA 91316
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Other Identifiers 2

Medicaid7068CA
Medicaid7420CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DONNA ZAIDENBERG ATC, MS
Specialist/Technologist (Athletic Trainer)
17609 VENTURA BLVD, 106B
ENCINO, CA 91316
Los Angeles County (818) 687-0715
MERI TCHOUVANDJIAN
Occupational Therapist
17609 VENTURA BLVD, SUITE 215
ENCINO, CA 91316
Los Angeles County (818) 501-8352
MICAELA SULHAM M.S.
Speech-Language Pathologist
17609 VENTURA BLVD, 215
ENCINO, CA 91316
Los Angeles County (818) 530-5147
MRS. MELISSA NAYAR
Behavior Analyst
17609 VENTURA BLVD, SUITE 215
ENCINO, CA 91316
Los Angeles County (818) 501-8352
HEATHER VALENTINE BCBA
Behavior Analyst
17609 VENTURA BLVD, SUITE 215
ENCINO, CA 91316
Los Angeles County (818) 501-8352
MS. MELISSA D DRACHAND M.A. OTR/L
Occupational Therapist
17609 VENTURA BLVD
ENCINO, CA 91316
Los Angeles County (818) 530-5148
MELISSA HAGAR
Speech-Language Pathologist
17609 VENTURA BLVD, 215
ENCINO, CA 91316
Los Angeles County (818) 501-8352
MISS ROXANNE S ABRAMS OTR/L
Occupational Therapist
17609 VENTURA BLVD, STE. 215
ENCINO, CA 91316
Los Angeles County (818) 530-5157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedric Crisolo's NPI number?

The NPI number for Cedric Crisolo is 1053644013. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Cedric Crisolo located?

Cedric Crisolo practices at 17609 Ventura Blvd St. 215, Encino, CA 91316. The listed phone number is (818) 501-8352.

What is Cedric Crisolo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Cedric Crisolo was last updated on November 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.