Active NPI
Shawn Simon
- Behavior Analyst
- Pine Beach, NJ
National Provider Identifier
1396018586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 430 Washington Ave
Pine Beach, NJ 08741-1620 - Phone
- (848) 992-1341
- Fax
- (732) 505-0478
- NPI assigned
- Feb 17, 2012
- Last updated
- Feb 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
430 Washington Ave
Pine Beach, NJ 08741-1620
Mailing address
430 Washington Ave
Pine Beach, NJ 08741-1620
Phone (848) 992-1341
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": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1396018586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WASHINGTON AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411620",
"telephone_number": "848-992-1341",
"fax_number": "732-505-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WASHINGTON AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411620",
"telephone_number": "848-992-1341",
"fax_number": "732-505-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-17",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Beach, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.