Individual provider Active NPI

Shamica Morton, M.S., BCBA, LBA

  • Behavior Analyst
  • Moreno Valley, CA
National Provider Identifier
1093287153
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37499 Issued in TX
Practice address
24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529
Phone
(916) 869-2416
NPI assigned
Dec 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Behavior Analyst 103K00000X 1-19-37499 TX Primary

Addresses

Primary practice location

24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529

Mailing address

5838 Toscana Trce
Round Rock, TX 78665-4402
Phone (916) 869-2416

Other practice location 1

236 Georgia St Ste 102
Vallejo, CA 94590-5962
Phone (888) 544-5553

Other practice location 2

1250 S A W Grimes Blvd
Round Rock, TX 78664-7429
Phone (512) 900-1840

Other practice location 3

5838 Toscana Trce
Round Rock, TX 78665-4402
Phone (916) 869-2416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavior Autism Center LLC Behavior Analyst CurrentSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1093287153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 TOSCANA TRCE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654402",
            "telephone_number": "916-869-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24081 SANDY GLADE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575529",
            "telephone_number": "916-869-2416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Georgia St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905962",
            "country_code": "US",
            "telephone_number": "888-544-5553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S A W Grimes Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647429",
            "country_code": "US",
            "telephone_number": "512-900-1840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5838 Toscana Trce",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786654402",
            "country_code": "US",
            "telephone_number": "916-869-2416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "SHAMICA",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-19-37499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.