Sarah Pridonoff, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14008 Issued in CA

Practice address

3601 N Aviation Blvd
Suite 2200
Manhattan Beach, CA 90266-3753

Phone

(310) 406-1500

Fax

(310) 406-1531

NPI assigned

Apr 9, 2014

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

Other names 1

• Shir Pridonoff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1366861072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 N AVIATION BLVD",
            "address_2": "SUITE 2200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663753",
            "telephone_number": "310-406-1500",
            "fax_number": "310-406-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N AVIATION BLVD",
            "address_2": "SUITE 2200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663753",
            "telephone_number": "310-406-1500",
            "fax_number": "310-406-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDONOFF",
        "first_name": "SARAH",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIR",
            "last_name": "PRIDONOFF",
            "credential": "MA, BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Analyst in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.