Shayla Angelia Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-165358 Issued in FL

Practice address

5 Blakeview CT
Palm Coast, FL 32137-7327

Phone

(386) 793-8353

NPI assigned

Jun 30, 2021

Last updated

Mar 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shining Stars Applied Behavior Analysis Corp.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1346787728
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1083284095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLAKEVIEW CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321377327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BLAKEVIEW CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321377327",
            "telephone_number": "386-793-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8382 Baymeadows Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567436",
            "country_code": "US",
            "telephone_number": "904-755-0646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3872 San Jose Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322174613",
            "country_code": "US",
            "telephone_number": "888-963-2228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Dunlawton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274221",
            "country_code": "US",
            "telephone_number": "877-823-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAYLA",
        "middle_name": "ANGELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-165358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anasagasti, SLP MS-CCC
• Lois Shannon Andersen, LMHC
• Amanda Anderson, OTA/L
• Mildred Frances Anderson, RBT
• Miles C Anderson, MD
• Shedrick Anderson
• Fhteachia Michelle Andrews, ARNP, NP-C
• Nicole L Andrews
• Anew Counseling
• Angel Nurturing Care

• Behavior Technician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.