Active NPI
Shawn L Maepa Horn, LBA
- Behavior Analyst
- Portland, OR
National Provider Identifier
1184926792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- ABA-B-10167930
- Practice address
- 2120 SW Jefferson St
Suite B200
Portland, OR 97201-7727 - Phone
- (503) 244-4083
- NPI assigned
- Dec 2, 2010
- 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 | ABA-B-10167930 | OR | Primary |
Addresses
Primary practice location
2120 SW Jefferson St
Suite B200
Portland, OR 97201-7727
Mailing address
15685 SW 116TH Ave
PMB #240
King City, OR 97224-2651
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 |
|---|---|---|---|
| ABA-B-10167930 | OR | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Hope for Autism Foundation | 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.
-
- Hearing and Speech Clinic/Center
- Portland, OR
- NPI 1093182644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1184926792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15685 SW 116TH AVE",
"address_2": "PMB #240",
"city": "KING CITY",
"state": "OR",
"postal_code": "972242651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 SW JEFFERSON ST",
"address_2": "SUITE B200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972017727",
"telephone_number": "503-244-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEPA HORN",
"first_name": "SHAWN",
"middle_name": "L",
"credential": "LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "ABA-B-10167930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.