Shaynna Ryanne Fausett

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1608 Watwood Rd
Lemon Grove, CA 91945-4056

Phone

(916) 599-9086

NPI assigned

May 28, 2018

Last updated

May 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527465600000",
    "number": "1194216978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WATWOOD RD",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454056",
            "telephone_number": "916-599-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WATWOOD RD",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454056",
            "telephone_number": "916-599-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSETT",
        "first_name": "SHAYNNA",
        "middle_name": "RYANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2018-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Centers of San Diego, Inc (Lemon Grove Family Health Center)
• Family Health Centers of San Diego, Inc (Lemon Grove Family Health Center)
• Family Health Centers of San Diego, Inc (Lemon Grove Family Counseling Center)
• Family Health Centers of San Diego, Inc (Lemon Grove Family Health Center)
• Jennifer Fastiggi
• Tomas Robert Fernandez
• Fidare Health Co (Coastal Recovery Concepts)
• Tyia Vanessa Fields, LVN
• David Eaton Fleming, PA
• Abigail Flores Martinez

• Behavior Technician in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; 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.