Provider Demographics
NPI:1962377564
Name:PURBA, ADRIAN (RBT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:PURBA
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 WILSHIRE BLVD STE 1400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1923
Mailing Address - Country:US
Mailing Address - Phone:213-808-4149
Mailing Address - Fax:213-283-0572
Practice Address - Street 1:3435 WILSHIRE BLVD STE 1400
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1923
Practice Address - Country:US
Practice Address - Phone:213-808-4149
Practice Address - Fax:213-283-0572
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician