Alive Education Management and Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALIVE EDUCATION MANAGEMENT AND SERVICES

Practice address

152 S Lasky Dr Ste 208
Beverly Hills, CA 90212-1716

Phone

(818) 795-5206

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Nicole Stanford, ED.D, BCBANPI 1023573938

Title

Ceo, Clinical Director

Phone

(818) 795-5206

Specialties & licenses 1

Addresses

Other names 1

• ALIVE EDUCATION MANAGEMENT AND SERVICES Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Nicole Stanford, BCBA

  • Behavior Analyst
  • Encino, CA
  • NPI 1023573938
  Authorized official Same address or phone

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1427608967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD STE 2175",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600",
            "telephone_number": "818-795-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR STE 208",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121716",
            "telephone_number": "818-795-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE EDUCATION MANAGEMENT AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "818-795-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALIVE EDUCATION MANAGEMENT AND SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Providers in Beverly Hills, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.