Madeline Canas Granados

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1205 W Green Oaks Blvd Ste B
Arlington, TX 76013-8333

Phone

(817) 457-3088

NPI assigned

Aug 31, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Shine Behavioral LLC

  • Clinic/Center
  • Arlington, TX
  • NPI 1558889238
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1477035954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W GREEN OAKS BLVD STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138333",
            "telephone_number": "817-457-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W GREEN OAKS BLVD STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138333",
            "telephone_number": "817-457-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Beville Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321145769",
            "country_code": "US",
            "telephone_number": "386-267-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANAS GRANADOS",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shine@shinebehavioral.com",
            "affiliation": "N",
            "address_1": "1205 W Green Oaks Blvd Ste B",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760138333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Can Community Health, Inc.
• Holly Bell Canaday, M.D.
• Arianne Elizabeth Canales, LPC-A
• Magdalena Maria Canales
• Miguel Canales, M.D.
• Candela Communities Care, LLC
• Michael T Cane, M.D.
• Emmanuel Cann
• Meghan Cannella, MS. CCC-SLP
• Tracy L Cannon-Smith, MD

• All providers in Arlington, TX
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.