Individual provider Active NPI

Jamee Shayne Farala

  • Behavior Analyst
  • Ventura, CA
National Provider Identifier
1487204335
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5450 Ralston St Ste 205
Ventura, CA 93003-6042
Phone
(805) 765-4812
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5450 Ralston St Ste 205
Ventura, CA 93003-6042

Mailing address

1730 Rubio Cir
Oxnard, CA 93030-0104

Other identifiers 1

IdentifierTypeStateIssuer
1-19-36587OtherCABACB

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfarala@ican-b.com ICAN-B

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487204335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 RUBIO CIR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 RALSTON ST STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036042",
            "telephone_number": "805-765-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARALA",
        "first_name": "JAMEE SHAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-19-36587",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfarala@ican-b.com",
            "affiliation": "Y",
            "affiliationName": "ICAN-B",
            "address_1": "5450 Ralston St Ste 205",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930036042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.