Organization Active NPI

Playba

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1255978623
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PLAYBA
Practice address
4504 60TH St Unit 6
San Diego, CA 92115-5470
Phone
(860) 575-5338
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Jenna Shaw, M.S., BCBA
Title
Bcba
Phone
(860) 575-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4504 60TH St Unit 6
San Diego, CA 92115-5470

Mailing address

4504 60TH St Unit 6
San Diego, CA 92115-5470
Phone (860) 575-5338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1255978623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 60TH ST UNIT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155470",
            "telephone_number": "860-575-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 60TH ST UNIT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155470",
            "telephone_number": "860-575-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "860-575-5338",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.