Active NPI
Shamim Juma, MA, BCBA
- Behavior Analyst
- Houston, TX
National Provider Identifier
1174054050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20886
- Practice address
- 16000 Park Ten PL Ste 601
Houston, TX 77084-7301 - Phone
- (281) 713-0280
- NPI assigned
- Mar 23, 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-20886 | TX | Primary |
Addresses
Primary practice location
16000 Park Ten PL Ste 601
Houston, TX 77084-7301
Mailing address
1400 Broadfield Blvd Ste 200
Houston, TX 77084-5162
Phone (281) 713-0280
Other practice location 1
26077 Nelson Way Ste 1001
Katy, TX 77494-6694
Phone (281) 713-0280
Other practice location 2
1400 Broadfield Blvd Ste 200
Houston, TX 77084-5162
Phone (281) 713-0280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4305831 | Medicaid | TX |
Other names 1
- Shamim Manji
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sjuma@i2aba.com | Direct | |
| Direct Messaging Address | info@i2aba.com |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individualized Intervention ABA | Behavior Analyst | 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.
-
- Behavior Analyst
- Houston, TX
- NPI 1013572577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1174054050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BROADFIELD BLVD STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845162",
"telephone_number": "281-713-0280",
"fax_number": "855-262-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 PARK TEN PL STE 601",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847301",
"telephone_number": "281-713-0280"
}
],
"practiceLocations": [
{
"address_1": "26077 Nelson Way Ste 1001",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774946694",
"country_code": "US",
"telephone_number": "281-713-0280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Broadfield Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770845162",
"country_code": "US",
"telephone_number": "281-713-0280",
"fax_number": "855-262-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUMA",
"first_name": "SHAMIM",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-15-20886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4305831",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sjuma@i2aba.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "16000 Park Ten Pl Ste 601",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770847301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@i2aba.com",
"affiliation": "N",
"endpointDescription": "confidential email",
"address_1": "16000 Park Ten Pl Ste 601",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770847301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHAMIM",
"last_name": "MANJI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.