Active NPI
La Shanah Holmes
- Behavior Technician
- Baltimore, MD
National Provider Identifier
1154978757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6340 Security Blvd Ste 100
Baltimore, MD 21207-5284 - Phone
- (818) 241-6780
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Mailing address
1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (818) 241-6780
Other practice location 1
7529 Standish Pl Ste 355
Rockville, MD 20855-2733
Phone (703) 636-5418
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1154978757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 S MAYFLOWER AVE STE 220",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910165239",
"telephone_number": "818-241-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6340 SECURITY BLVD STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212075284",
"telephone_number": "818-241-6780"
}
],
"practiceLocations": [
{
"address_1": "7529 Standish Pl Ste 355",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208552733",
"country_code": "US",
"telephone_number": "703-636-5418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "LA SHANAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.