Social-Emotional & Education Development Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1107000 Issued in CA

Legal business name

SOCIAL-EMOTIONAL & EDUCATION DEVELOPMENT SERVICES

Practice address

17807 Cantara St
Reseda, CA 91335-1516

Phone

(818) 527-2230

Fax

(818) 322-1334

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Shawna Janelle Wilson, BCBA

Title

Clinical Director

Phone

(562) 682-7697

Specialties & licenses 1

Addresses

Other names 1

• SEEDS Other name

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1487063483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17807 CANTARA ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351516",
            "telephone_number": "818-527-2230",
            "fax_number": "818-322-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17807 CANTARA ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351516",
            "telephone_number": "818-527-2230",
            "fax_number": "818-322-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL-EMOTIONAL & EDUCATION DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "JANELLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "562-682-7697",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1107000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEEDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Behavior Analyst in Reseda, CA
• Providers in Reseda, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.