Shoreline ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHORELINE ABA

Practice address

377 Blue Dolphin Dr
Port Hueneme, CA 93041-3537

Phone

(805) 341-9214

NPI assigned

Jul 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle L Evans, MS, BCBANPI 1831489533

Title

Executive Director / Owner

Phone

(805) 341-9214

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Evans, PSYD, BCBA

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1831489533

  Behavior Analyst

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1003369687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 BLUE DOLPHIN DR",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413537",
            "telephone_number": "805-341-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 BLUE DOLPHIN DR",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413537",
            "telephone_number": "805-341-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / OWNER",
        "authorized_official_telephone_number": "805-341-9214",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Sarte, PHARM. D
• Seth T. Secrease, IDC
• Kosha Shah, D.D.S.
• Rutu Jignesh Shah, DDS
• Alireza M Sharifzadeh, DDS
• Silver Strand Optometry Corp
• Jerry M Smith Jr., IDC
• Michelle Smith
• Steven M Smith, MA, LMFT
• Sol Y Paz Counseling Services Licensed Clinical Social Worker, Inc.

• Behavior Analyst in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.