Active NPI
Hannah Yae Eun Shin
- Behavior Technician
- Fullerton, CA
National Provider Identifier
1316715329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1600 N Acacia Ave
Fullerton, CA 92831-1207 - Phone
- (714) 773-0077
- Fax
- (714) 773-0067
- NPI assigned
- Dec 19, 2023
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1600 N Acacia Ave
Fullerton, CA 92831-1207
Mailing address
524 E Imperial Hwy # 124
Brea, CA 92821-8513
Phone (714) 773-0077
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Behavior Services, Inc | Behavior Technician | Current | Accepting new patients |
Locations
524 E Imperial Hwy
#124
Brea, CA 92821
Phone (714) 773-0077
1600 N Acacia Ave
Fullerton, CA 92831
Phone (714) 773-0077
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1316715329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 E IMPERIAL HWY # 124",
"city": "BREA",
"state": "CA",
"postal_code": "928218513",
"telephone_number": "714-773-0077",
"fax_number": "714-773-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ACACIA AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311207",
"telephone_number": "714-773-0077",
"fax_number": "714-773-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "HANNAH",
"middle_name": "YAE EUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.