NPIMap

Organization Active NPI

Shinethru ABA Therapy, LLP

  • Behavior Analyst
  • Alexandria, LA
National Provider Identifier
1174993414
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L122 Issued in LA
Legal business name
SHINETHRU ABA THERAPY, LLP
Practice address
804 Highpoint Dr
Alexandria, LA 71303-2425
Phone
(504) 884-2679
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Sara Margaret Mansilla, BCBA, LBA
Title
Chief Operating Officer
Phone
(504) 884-2679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X L122 LA Primary

Addresses

Primary practice location

804 Highpoint Dr
Alexandria, LA 71303-2425

Mailing address

804 Highpoint Dr
Alexandria, LA 71303-2425
Phone (504) 884-2679

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1174993414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HIGHPOINT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032425",
            "telephone_number": "504-884-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HIGHPOINT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032425",
            "telephone_number": "504-884-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINETHRU ABA THERAPY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MANSILLA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "504-884-2679",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.