Active NPI
Lu Shibli I
- Assistant Behavior Analyst
- Burlingame, CA
National Provider Identifier
1114467115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 103K0000X - BEHAVIOR
- Practice address
- 424 Peninsula Avenue
Burlingame, CA 94401 - Phone
- (650) 286-4396
- NPI assigned
- Feb 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 103K0000X - BEHAVIOR | CA | Primary |
Addresses
Primary practice location
424 Peninsula Avenue
Burlingame, CA 94401
Mailing address
1452 Cortez Ave
Burlingame, CA 94010
Phone (650) 766-5799
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103K0000X - BEHAVIOR | CA | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Learning and Autism Support Services, Inc. | Past | 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.
-
- Early Intervention Provider Agency
- San Mateo, CA
- NPI 1417139288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1114467115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 CORTEZ AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "94010",
"telephone_number": "650-766-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 PENINSULA AVENUE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "94401",
"telephone_number": "650-286-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIBLI",
"first_name": "LU",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "103K0000X - BEHAVIOR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.