Ye Ji Shin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45955 Issued in PA

Practice address

301 E City Ave
Bala Cynwyd, PA 19004-1708

Phone

(856) 827-7630

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Siza Education Services

  • Behavior Analyst
  • Malvern, PA
  • NPI 1275289134
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1447818570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "856-827-7630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 Shoemaker Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064201",
            "country_code": "US",
            "telephone_number": "484-681-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "YE JI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-20-45955",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-17-46740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Sharkey, M.ED.
• Fredric M Shecter, DO
• Imani Paramore Shell, PT
• Kara Shifler
• Josephine Hsin-Fen Shih, PHD
• Shining Hearts Medical Group Corp
• Shoshana Twersky PSYD LLC
• Katherine Faye Breslow Shrager, PSY.D.
• Sonya Lee Shulkin, LCSW
• Kelly Siderio

• Behavior Analyst in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.