Active NPI
Shanna Munoz, BCBA
- Behavior Analyst
- Valencia, CA
National Provider Identifier
1275879645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-11851
- Practice address
- 28245 Avenue Crocker
Suite 220
Valencia, CA 91355-0940 - Phone
- (661) 254-7086
- Fax
- (661) 254-7108
- NPI assigned
- Dec 12, 2012
- 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 | 1-12-11851 | CA | Primary |
Addresses
Primary practice location
28245 Avenue Crocker
Suite 220
Valencia, CA 91355-0940
Mailing address
28245 Avenue Crocker
Suite 220
Valencia, CA 91355-0940
Phone (661) 254-7086
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1275879645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28245 AVENUE CROCKER",
"address_2": "SUITE 220",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550940",
"telephone_number": "661-254-7086",
"fax_number": "661-254-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28245 AVENUE CROCKER",
"address_2": "SUITE 220",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550940",
"telephone_number": "661-254-7086",
"fax_number": "661-254-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "SHANNA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-12-11851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.